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1. What environmental issues are of concern in your community? Please clearly state the issues and describe impacts in your community.

2. If you are taking action on any of the issues listed above, please let us know what you're doing below.

3. Would you like assistance from the NAACP Climate Justice Initiative Technical Assistance Program? If so, what kind of assistance would you like?

4. Please share any other comments or questions here.

5. Please enter your contact information below.