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* 1. Name

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* 3. Phone number

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* 4. Years in the industry

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* 5. Community size

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* 6. Location (address)

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* 7. Organization Build Up (Main Street, Chamber, Tourism Bureau, Economic Development, etc.)

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* 8. What is one thing you are hoping to gain from your mentor and this program?

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* 9. What would success look like after one year going through this program?

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