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First Name
Last Name
Age
Gender
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City
Email Address
Title of project
Summarize your project idea
What will be the positive change created in your community after your project is successfully implemented?
What will be your most difficult obstacle?
Are your parents and family supportive of your idea?
Yes
No
Comment
Cite at least one local organization that has agreed to support and help you if you get selected. How will they help you?
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