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* 1. Name

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* 2. Tribal Affiliation or cultural background

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* 3. Please list the organization(s) that you are part of that are relevant to this effort. If not applicable, please list 'community member' or whatever best describes your situation.

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* 4. What experiences do you have that make you an ideal candidate for this task force?

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* 5. Are you able to commit to monthly meetings (in person preferred, or by phone, or video conference)?

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* 6. Are you willing to speak on behalf of the task force (and/or assist in recruiting other community members) to provide comments at various city/county meetings?

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