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* 1. Please provide your first/last name

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* 2. What is your email address?

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* 3. What is your physical address?

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* 4. How long have you lived in Fort Collins?

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* 5. What motivates you to work for a better community?

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* 6. What are the top five biggest issues facing Fort Collins at this time and why?

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* 7. You’re talking with someone and disagree on a particular topic. How do you react?

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* 8. What are people not talking about that they should and why?

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* 9. What is one thing you would want us to know about you?

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