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* 1. Your Name

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* 2. Your Email Address

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* 4. Name of UNITY Affiliated Youth Council

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* 6. Is WiFi or internet access available in your home?

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* 7. If not, where do you go to access WiFi or the internet? (i.e. school, fast food restaurant, known hot spot, etc.)

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* 8. Do you have or have access to a personal computer, laptop, or tablet? 

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* 9. Do you have a cell phone or access to a landline phone or both? (please specify)

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* 10. Are you interested in taking part in UNITY's virtual conference?

No, I will not participate I think it is a good way to connect for now Yes, I can't wait to touch base with everyone
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i We adjusted the number you entered based on the slider’s scale.

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* 11. If so, what are you most interested in?

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* 12. Are you, or one of your Youth Council members, planning to run for a position on the National UNITY Council Executive Committee?

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* 13. Would you like to participate in a virtual Business Meeting this summer? **CLICK all that apply**

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* 14. Do you have any other comments, questions, or concerns? Please feel free to share your thoughts how UNITY Inc. can best serve Native Youth remotely.

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