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1. Please provide your Name

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2. Please provide your Title

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3. Please provide your Department

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4. What is your phone number?

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5. What is your email address?

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6. What resources could your
department or agency offer to the father figure population? 

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7. Are you able to attend an indoor event promoting your services and resources?

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8. Can you provide on-site assistance providing immediate help to fathers?

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9. Are you able to provide assistance for the evening?

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10. Are you able to provide assistance on the weekend?

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11. Any comments you would like to leave for the committee about your services?

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12. Is your agency's main office within Riverside County?

0 of 12 answered
 

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