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* 1. Please provide your first and last name.

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* 2. Organization Name

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* 3. Please choose your sector.

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* 4. What interests you the most about being a member of the coalition?

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* 5. HCC has two primary goals.  What are they?

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* 6. What are the two primary substances that HCC focuses on?

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* 7. How many sectors of the community are we required to have in our membership?

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* 8. HCC is required to utilize a specific framework for coalition operations.  What is the name of that framework?

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* 9. The __________ is the name of the Survey that HCC administers to 6-12 graders every two years.

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* 10. There are two guiding principles in the Strategic Prevention Framework.  What are they?

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