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Neighborhood Liaisons Registration

  1. Does your neighborhood have an organization or association? (please check one)*

  2. Are you involved in any community groups?*

  3. Meeting Preferences: Indicate the days and times that would make it easiest for you to meet virtually or have a physically distanced conversation. You may select more than one option.

  4. I plan to share information with my neighbors through

  5. Demographic Information

    The demographic information below is voluntary but requested because we want to be intentional about representation from all points of diversity, and especially from racial and ethnic groups that are underrepresented in our volunteer groups.

  6. About how long have your lived in Carrboro?

  7. What is your age?

  8. Which of the following best describes your race/ethnicity?

  9. What is the primary language spoken in your household?

  10. Are you a student?*

  11. Thank you for your participation!

  12. Leave This Blank:

  13. This field is not part of the form submission.