ACEs Learning Session Section 1

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* 1. Name of Presenter (s)
check all that apply

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* 2. Date of the ACEs learning session (MM/DD/YY).

Date

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* 4. Your race/ethnicity (check all that apply).

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* 5. Sectors you most closely identify with:

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* 6. Select all counties in which you reside, work, and where the ACEs learning session was located.

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* 7. List the tribal region in which you reside, work, or where the learning session was held. (If applicable)

T