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Community Resource Collaborative Contact Form

Welcome to the Community Resource Collaborative (CRC) Contact Information Form!

Please take a moment to provide your contact information.

Your information will be openly shared and provided to the CRC network. This will only be used for communication and networking purposes. We value your participation and look forward to continuing our collective efforts to stay linked together

We will compile responses and send out a contact form shortly after sending out this survey.

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Name 
Email
Phone Number 
If you have multiple numbers please list  which phone type is which (i.e. cell, work, home etc)
Organization *
Role within organization
Description of what you do
Industry you work in?
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