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33% of survey complete.

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* 1. Contact Information

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* 2. Aborignal Ancestry & Nation/Band (If Applicable):

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* 4. Please comment if you have selected no:

*****Please note that there are different start and end times for certain days of the program. Once you have completed this form, we will contact you with information regarding this. Thank you

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* 5. Do you foresee any barriers that may keep you from fully participating in the program?

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* 6. The Community Leadership Program is a project based program. Are you comfortable to work on a project for your community either alone, or in a group?

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