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1. First and Last Name (Required.)

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3. Physical Address (Required.)

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4. What times of the day are you usually available for meetings and events? (Select all that apply) (Required.)

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5. Are you more available on certain days of the week? (Select all that apply) (Required.)

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6. Do you prefer in-person meetings, virtual (Zoom, Google Meet, etc.), or a mix of both? (Required.)

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7. Are you comfortable speaking in public or sharing your personal housing story in front of others? (Required.)

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8. Are you comfortable with having your story featured on the BRHP website or social media? (Required.)

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9. Are you comfortable being photographed or recorded for advocacy purposes? (Required.)

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10. Are you comfortable attending meetings with lawmakers or testifying at a public hearing? (Required.)

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11. Are you comfortable being interviewed by the media (TV, radio, or print)? (Required.)

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12. Do you feel able to actively participate as an Advocacy Ambassador, including speaking up in meetings, answering questions, and sharing your perspective when relevant? (Required.)

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13. To remain an active member of the AAC, participants are expected to attend at least 2 virtual trainings and 1 in-person event. Are you able to meet this requirement? (Required.)

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14. Do you have any accessibility needs or accommodations we should be aware of (e.g., transportation, mobility support, interpreters, childcare)?

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