HamCo Love Teen Advisory Committee

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* 1. What is your name?

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* 2. What is your age?

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* 3. Do you live in Hamilton County, Indiana?

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* 4. In which city/town do you live?

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* 5. What is the name of your adult/parent/guardian?

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* 6. What is your adult/parent/guardian’s email address?

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* 7. Which school do you attend? (If homeschooled, please answer “homeschooled”)

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* 8. Please tell us a bit about yourself!

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* 9. Why do you want to be part of the HamCo Love Teen Advisory Committee?

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* 10. What skills, passions, or interests do you have that would help with your work on the committee?

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