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* 1. In an effort to learn more about the community in which you live, please provide your Georgia county of residence.

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* 2. Would you like Neighborhood Nexus to host an information or training session in your community?

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* 3. Which sector does your organization fall under?

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* 4. Please provide your first and last name. We will not sell or publicize your information.

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* 5. Please provide the name of the organization you represent.

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* 6. We would like to periodically reach out to you about Neighborhood Nexus updates. Please provide your email address. We will not sell or publicize your information.

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* 7. What are you hoping to learn from the Neighborhood Nexus website?

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* 8. What is your overall feedback from the website? Specifically, is there anything you would like for us to consider?

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