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* 1. First Name

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* 2. Last Name

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* 3. Community where you live (please note that the mentoring circle is specific to women living in Northern Manitoba or who belong to a First Nations Band located in Northern Manitoba)

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* 4. Email Address

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* 5. Phone Number

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* 6. Heritage

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* 7. Where are you in terms of business?

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* 8. What type of business are you currently operating or hope to operate e.g. food services, arts & crafts, consulting, etc.

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* 9. Is your business operating on-reserve or off-reserve (or if you have not yet started, where will it be located)?

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* 10. Which session time are you planning to attend?

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