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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Background

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* 5. If you selected Student, please list your school

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* 6. If you selected Business Owner, Please list your Business Name

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* 7. Skills to Share (Check all that apply)

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* 8. Renovations:

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* 9. Best Days to Participate:

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* 10. Please RANK = 1 Most Important, 10 = Least Important each of the following components of the Agricultural Innovation and Communities Development Centers

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