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2.2 Challenge Station Application
Please complete this form if your group or organization would like to host a Challenge Station focusing on the symbolic number "22" which represents raising awareness that 22 veterans commit suicide daily. Join us on November 9 at Las Positas College to be part of this amazing event. Application Deadline is 10/28/2019. Please review our website and last year's re-cap:
http://www.laspositascollege.edu/veterans/2.2challengewalk.php
.
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Name of Department or Organization
Your answer
Contact Person (Name) & Title
Your answer
Contact Person Cell Phone
Your answer
Email
Your answer
Challenge Station TItle
Your answer
Challenge Station Description
Your answer
Describe equipment needed. Will you provide any of the equipment, e.g., pop-up tent, tables, chairs.
Your answer
Please list all the names, phone numbers, t-shirt size of individuals staffing your station (to be listed on the "staff" list - no charge for attendance).
Your answer
Will you be able to attend a walk-through meeting 2 weeks before the event?
Yes
No
Maybe
Thank you! List questions/concerns here.
Your answer
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