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["Workforce Area (Select Below)","Name of Person Completing the Form:",null,null,null,null,"Framework Service Provider:"]
[null,"Email: ",null,null,null,null,"Address: "]
["Name of Youth Service Provider \n(List Individually)","Service Provider Address ","City ","Town ","Zip ","Service Provider Description ","Service Provider Hours of Operation ","Service Provider  Website ","Contact  Person ","Contact Email ","Amount of WIOA Contract Award ","Total Number of Out-of-School Youth ","Total Number of In-School Youth ","Contract Start Date ","Contract End Date ","Program Service Elements \n(Pull Down Menu - Choose All That Apply))"]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Occupational Skills Training "]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Supportive Services "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Adult Mentoring "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Follow-Up Servics "]
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[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Financial Literacy "]
[null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,null,"Entrepreneurial Skills Training "]
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