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WHITE HOUSE CONFERENCE om CHILDREN a YOUTH <br /> PRE-EVENT FORM FOR FOLLCW-UP COUNTY CONFERENCE <br /> 4 NAME OF o]omzy________ <br /> YOUR NAME — DAY PHONE ( <br /> DATE OF COUNTY sVcmm xoME�_.__ <br /> pLAcE _ <br /> • OBJECTIVES OF COUNTY omsmz�__ <br /> WHO IS YOUR TARGET <br /> WHAT ORGANIZATIONS/INDIVIDUALS ARE INVOLVED zm PLANNING THE EVENT? <br /> — <br /> " -- -- - ----- -- <br /> DO YOU PLAN TO USE ''PROUD' BUT NOT SATISFIED", THE SLIDE-TAPE PRESENTATION PRODUCED <br /> ESPECIALLY FOR NORTH CAROLINA'S WHITE HOUSE oCNFERENCE ON CHrLDnEN AND YOUTH? YES <br /> NO IF YES, HAVE YOU RESERVED zTr <br /> WITH YOUR LOCAL LIBRARY? <br /> WITH THE GOVERNOR'S OFFICE OF CITIZEN AFFAIRS? <br /> PLEASE RETURN THIS FORM 1W) WEEKS PRIOR TO YOUR EVENT TO: <br /> GOCA <br /> 116 W. JONES STREET ^ <br /> RALEIGH, NC 27$11 <br /> - <br />