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* 1. Contact Information

Name

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Email Address

Phone Number

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* 2. What makes you proud to be a Minnesotan? Please provide some examples.

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* 3. What are some of the concerns, challenges, and barriers you and your family face as you work to find success and prosperity?

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* 4. How did legislation we worked on this session impact your life? Be as specific as you’d like.

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* 5. How do you think public officials can work better with citizens to reach common goals?

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* 6. When I talk to my fellow legislators, the most effective way to advocate is telling the stories of the people of Duluth who are affected by the issues we work on every day. What’s your story?