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- What would you like to do today?*
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- Do you anticipate finishing your work plan before your next monthly report?*
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Format: (000) 000-0000.
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- What is the age range of your priority population?*
- Which of the following best describes the place where your priority population lives? Select all that apply.*
- What is the race of your priority population? Select all that apply.*
- Are individuals of Hispanic, Latino, or Spanish origin included in your priority population?*
- Which of the following descriptors reflect your project’s priority population? Select all that apply.*
- Counties represented. Please begin typing your county and select all that apply.*
- Native American Reservations represented. Please begin typing Reservation name and select all that apply. *
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