Caroline Comprehensive Assessment Interest Survey

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Thank you for considering being a part of this assessment process that will help to direct future funding resources in Caroline County. We will be doing several activities that we would love to have to participate in.

Please check all community engagement activities that you would be interested in participating in. *

5-7 minute on-line survey

Virtual (Zoom) Focus Group (1 hour)

Host facilitator for 20 minute focus group as a part of your meeting

Participate in a longer (20 minute) one-on-one call with a facilitator

I can't participate but please keep me informed.

Other:

Required

Name *

Zip Code *

Organization Name (if you represent an organization)

Email Address *

Phone Number

The information collected on this form and all future activities will be aggregated and you will remain anonymous unless you choose to share additional information. Please share any longer comments or questions you have below. Thank you and we will be in touch!

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