Nomination Form for 2019-2020 F.L.A.G. Program

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Nomination Form for 2019-2020 F.L.A.G. Program

Please complete this form to nominate student(s) to the 2019-2020 Columbia County F.L.A.G. Program, due by 10/4.

Contact Infomation: UW-Extension Columbia Co., 112 E. Edgewater, Room 212, Portage, WI 53901; kathleen.haas@wisc.edu; 608-742-9680.

An AA/EEO employer, UW-Madison Division of Extension provides equal opportunities in employment and programming, including Title VI, Title IX and ADA requirements.

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2019-2020 F.L.A.G.

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