SWCASC Tribal Liaisons Assistance Request Form

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Welcome! Please fill out this form if you would like one-on-one assistance from the SWCASC Tribal Liaisons. Whether you need help with anything from funding, events, to receiving technical assistance, we are here to support you!

First Name *

Last Name *

Email Address *

Phone Number (optional)

Agency/Organization (Tribal or Non-Tribal)
*

What type of assistance are you seeking?
*

Guidance on funding

Learning about events

Receiving technical assistance

Other:

Required

Please describe your specific needs in detail.

Preferred method of communication
*

Virtual Meeting (Zoom/Teams)

Other:

Best time for contact
*

Morning

Afternoon

Evening

Other:

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