Thank you for expressing an interest in the JJH Focus Group. Please complete the application below.

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* 1. Name

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* 2. Contact Information

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* 3. Preferred method of communication?

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* 4. Do you use social media?

  Facebook Twitter Linked In Instagram
Yes
No

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* 5. What are your main areas of interest and experience that you could help us with?

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* 6. Can we keep your details for future resident involvement communication

0 of 6 answered
 

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