ADOLV Community Access Survey

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Welcome to Community! WE NEED YOU!

Kindly complete this survey to help us understand the services you need and your interests. By completing the survey, you'll be entered into a prize drawing, with winners to be announced monthly. Your input is crucial in shaping our community programs!

Visit us at https//africandiasporalv.org

First & Last Name *

Email *

Phone Number *

Zip Code

Age Group

18-24

25-39

40-55

56+

Clear selection

Country of Origin *

What programs/activities are you most interested in? (Choose up to 3) *

Community Health and Wellness

Entrepreneurship and Business

Family Engagement

Financial Literacy

Homeownership Education

Refugee and Immigrant Services

Homeowner Education

Youth Development (ie; kids' activities)

Employment & Job Skills Training

Other:

Required

Are you interested in kids' activities?

Yes

Clear selection

ADOLV has a free Language Access Program to assist those in the community with limited English proficiency. Below are some of the areas we provide support. Please click on the services you would be interested in. *

In Person Translation

Filling out Employment, Medical or Government Forms

Document Translation

Refugee / Immigration Services Language Assistance

English as a Second Language Classes

Technical Assistance/Digital Support

Cultural Language Readers

I don't need language assistance

Other:

Required

Are you bi-lingual?

Yes

Clear selection

If you are bilingual/speak more than one language, please list them.

ADOLV is dedicated to enhancing computer skills and expanding digital access within our community. Which of the following options would you want assistance with?

Using the Internet

Using Email

Help with Microsoft Office (Excel, Word, Powerpoint, etc.)

Google Suite (Docs, Forms, etc.)

Business Software (ie; Quickbooks)

I don't need any technical assistance.

ADOLV is a volunteer-based organization. We invite you to join one of our committees. *

Community Outreach

Business

Fundraising/Finance

Youth, Family and Education

Health and Wellness

Government Relations

Marketing, Events and Communications

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