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DELAWARE NATION
Community Service Block Grant Survey
Submit to: spitner@delawarenation-nsn.gov By 09/30/2020
1. What age group are you? (select one)
18-24 25-34 35-44 45-54 55-64 65+
2. What county in Oklahoma do you reside in? _____________________________
3. Employment status
Employed Unemployed Retired Student Other
Please review the current CSBG plan available on the Delaware Nation website
@delawarenation-nsn.gov and make suggestions or comments below.
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Suggestions/Input/Comment:_____________________________________________
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