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Civic Health Fellowship Module 5 Assignment Submission

Use this form to submit your Module 5 assignment for the 2026 Civic Health Fellowship. This should include your Snowflake/Structure assignment with instructions on slides 26-29 of the workbook. Assignments are due by the end of the day on Sunday, July 19th.

Which team are you submitting on behalf of?

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Who is serving as your team's coach?

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Upload your assignment here. Please include your team name in the document title.

Does your team have a plan to take action around National Voter Registration Day (September 15th)?

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How many new team members have you recruited?

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