Contact & Community Information

Please provide us with your contact information and some general details about your community.

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* 1. Name

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* 2. Email

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* 3. Phone

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* 4. Please provide your community name and/or description of where you're located.

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* 5. Tell us a little bit about your community. What are you known for? What brings people to your area? (e.g. College/University, industry, attractions, events, entrepreneurial energy, innovation hubs, quality schools)

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* 6. How would you describe your community demographics, specifically in regard to youth populations?

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