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Format: (000) 000-0000.
- Preferred Way for NDN to Contact You*
- Permission to Leave Voicemail*
- Permission to Send Text Messages About Programs, Events, Opportunities, and Follow-Up*
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- Do you currently live in Clark County?*
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- How do you identify?
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- Are you enrolled in a federally recognized or state-recognized Tribe, or otherwise formally affiliated with a Native Hawaiian organization/community?
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- What are you most interested in?*
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- Industries of interest
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- What makes it harder for you to work, train, attend school, or pursue your goals?
- Which of these areas would you like information or a referral for?
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- Would you like NDN staff to contact you when Clark County services become available?*
- Would you like to receive information about NDN community events, workshops, job fairs, or Native community opportunities?
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- Are there children under 18 in your household?
- Are you currently responsible for caring for a child, elder, or another family/community member?
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- Should be Empty: