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Community Innovation Center Community Engineer Interest Form
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Email
*
Your email
Full Name
*
Your answer
Mailing Address
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Your answer
Phone Number
*
Your answer
What skills and expertise do you bring to the table? How will you help advance the community with your talents?
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Your answer
What professional and personal networks do you have that could be of value to the community innovation center?
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Your answer
What issues or problems are you passionate about and how do you hope to use the community innovation center to make a difference in these areas?
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Your answer
Are you willing to financially support the center or its project?
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Yes
No
If yes, How much are you willing to contribute (if any)?
Your answer
Is there anything else you would like to share with us that you think would be relevant to your application?
Your answer
A copy of your responses will be emailed to the address you provided.
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