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* 1. Name

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* 2. Email

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* 3. Phone number

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* 4. Please select what best identifies your position

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* 5. If you are a youth in care please identify your current placement

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* 6. How do you prefer to receive information about AMP

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* 7. Are you wanting to be reached out to about what resources may be available to you

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* 8. Would you like to be added to an email list about AMP meetings, events, and resources we come across that could benefit youth and families?

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* 9. Would you like to be added to an email list about a group that works on child welfare policy?

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