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* 1. Are you Submitting a Project or Program?

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* 2. Name of Project or Program

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* 3. Primary Category (Select all that apply)

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* 4. Financing Category (Select all that apply)

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* 5. Please Provide a 2-3 Paragraph Summary of the Project or Program:

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* 6. Contact Info

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* 7. Will you be Participating as a Panelist?

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* 8. Additional Panelist Contact Info

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* 9. Has this person confirmed they will participate?

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* 10. Additional Panelist Contact Info

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* 11. Has this person confirmed they will participate?

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