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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What company or organization are you affiliated with?

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* 4. What is your email address?

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* 5. What is your phone number?

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* 6. What is your zip code?

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* 7. What county (or counties) is your housing resource located?

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* 8. How can you help solve this housing crisis?

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* 9. How long can a refugee live on this property? Type in 0 if this isn't applicable. 

7 days 182 days (approx. 6 months) 365 days (one year)
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i We adjusted the number you entered based on the slider’s scale.

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* 10. How many rooms are available? Type in 0 if this isn't applicable. 

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* 11. What else should we know?

T