This survey is intended to provide feedback on the Oregon Youth Conservation Corps programs. Your responses will be taken seriously.

Please note: your answers become public record so please be appropriate with your open-ended answers.

Please be honest! Read each question carefully and choose the best answer.

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* 1. What is your legal first name?

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* 2. What is your legal last name?

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* 3. What is your Date of Birth? MM/DD/YYYY

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* 4. What is your age?

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* 5. What is the name of your Crew Leader?

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