Your Information

The Rural Network Coalition is a brand new statewide coalition/network currently in the capacity-building phase. In order to create an inclusive, effective and strategic group we must recruit members from a diverse set of community sectors. 

Complete this form and Rural Network staff will contact the potential representatives. You may also use this form as an informal reminder/commitment to promote the Rural Network.

Please contact preventcoalition@esd112.org for more information.

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Your Name

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Your Email

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Your agency/organization/affiliation

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