1. Community name(*)
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  2. Location
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  3. On-reserve/Off-reserve/Urban Community
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  4. Contact name(*)
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  5. Phone number
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  6. Email address(*)
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  7. Community population
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  8. Youth population
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  9. Current programs/activities
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  10. How do you feel the GEN7 program could benefit your community?
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  11. Name and contact info for youth leaders
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