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Community Connector Survey
Thank you for your willingness to become a Community Connector!

Creating an extensive network of Connectors within the community to provide a welcoming environment to new residents of the Bemidji area is a key aspect of the Community Concierge program. A formal process (with the Concierge as the liaison) has been designed to introduce individuals and their family members to the community through the pairing of the newcomers with a Connector so interest and participation expectations can be aligned.

Connectors will complete the following survey to highlight their interests and aspects of the community in which they are involved for the Community Concierge to match them with newcomers to the best of their ability.

*Note: All personal information submitted is confidential and for internal purposes only until you are connected with an individual or their family through the program. If connected with an individual or family, your name and contact information that aligns with your preferred method of communication will be shared with the Community Concierge acting as a liaison.
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First Name *
Last Name *
Email Address *
Phone Number *
Mailing Address *
What is your preferred method of communication? *
Required
Gender *
Required
What is your age? *
Required
Please specify your ethnicity. *
Required
Who referred you to this program?
How long have you lived in Bemidji? *
If you are not originally from Bemidji, where did you move from? *
What area(s) do you feel you have knowledge to share or are familiar with? (check all that apply) *
Required
I enjoy the following recreational activities and hobbies: *
The last book I read or movie/show I watched was: *
In my free time I like to: *
I am a part of the following groups/organizations/programs: *
Tell us more about yourself! (check any that apply to you) *
Required
When you pair me with a Newcomer, I would like to have the following things in common (ie: we both have young children and enjoy volunteering in the school district) *
What questions (if any) do you have for us?
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