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Essential Connections Survey
What is the purpose/focus of your group?
2. What are you missing or needing to fulfill your mission (including data)?
3. If grant funded – Do your deliverables require collaboration?
4. How can the health council assist you in meeting your mission or goals?
Please select all the service sectors or areas of focus that apply to you/your group
Law Enforcement/ Emergency Response
Valencia County Community Member
Tribal Member or Employee
Public or Private Funder/Payer
Built Enviornment/ Natural Environment
Utlities - Public Works
If you checked Other, please describe your sector/population served.
List the partners you work with on a regular basis
Please share your funding sources if appropriate or grants currently being applied for.
Contact Email for follow up