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* 1. Name:

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* 2. Title:

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* 3. Agency:

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* 4. State:

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* 5. Agency Budget:

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* 6. Workforce Program Budget:

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* 7. Primary Population Served (check all that apply):

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* 8. Primary Funder(s) (check all that apply):

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* 9. Most pressing workforce development issues you are seeing and attempting to address in your region/state:

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* 10. Topics of interest that you would like to learn about (check all that apply):

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* 11. Expertise would you and/or your colleagues be willing to offer:

Next Zoom call***: Wednesday, March 13, 2019 2:00 pm - 3:15 pm.
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