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* 1. First name:

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* 2. Last name:

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* 3. Email:

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* 4. Are you participating in the Sustainable Pittsburgh Challenge?

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* 5. Where will you be monitoring?

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* 6. Monitoring Address(es):

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* 7. Neighborhood(s):

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* 8. Two of the air quality monitors we provide require a protected, outdoor location with access to a power source (covered porch, picnic table with a weather-proof covering, etc.).  The monitors can be placed near each other under one protected location. Will you be able to make this accommodation?

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* 9. Our next cohort starts on Friday, December 7th and ends on Friday, January 4th.   Our meetings typically start at 11:30am and last two hours. Do you have availability and interest to participate? lease realize participation in the Low-Cost Monitoring Project is a time commitment. We ask participants to record daily and submit data each week. Being unavailable for longer than one week is not acceptable.

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* 10. Are you interested in recruiting for a neighborhood/organization based cohort?  If so, we encourage recruiting at least 10 colleagues/neighbors.  Our team will come to your location to provide our expertise and equipment.

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* 11. How did you hear about the ROCIS Low Cost Monitoring Project?

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* 12. What do you hope to gain from the ROCIS Low Cost Monitoring Project?

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* 13. Any comments or questions?

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