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* 1. Email address:

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* 2. Name:

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* 3. What American Indian/Alaskan Native Community are you affiliated with?

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* 4. What agency/organization do you work for?

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* 5. What is your title?

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* 6. City/Town, State?

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* 7. What OJJDP grant are you funded by?

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* 8. This is a 3-part mini-course and we strongly encourage attending all three. Please indicate your planned attendance below (select all that apply). Participants who attend all 3 sessions and complete the evaluation will receive a certificate of attendance.

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* 9. Are there any specific questions you'd like answered by the presenters in the mini-course?

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