BFAC Directory Survey

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Please answer these brief questions to help us build a BFAC Members Directory.

First Name *

Last Name *

Phone - Work and/or Mobile

Can we text the number above?

Yes

Other:

Clear selection

Home Address (City)

Home Address (Zip) *

To be publicly shared, not associated with your name.

What is/are your preferred language(s)? *

Check all that apply. To be publicly shared, not associated with your name.

Albanian

Arabic (العربية)

Cape Verdean Creole (Kriolu)

Cantonese

English

French (Français)

Haitian Creole (Kreyòl ayisyen)

Mandarin

Polish(Polski)

Portuguese (Português)

Somali (Af Soomaali)

Spanish (Español)

Russian (Русский)

Thai

Vietnamese (Tiếng Việt)

Other:

Required

What is your race/ethnicity? *

Please check all that apply.This will be used to help BFAC ensure "everyone is seated at the table!"

American Indian or Alaskan Native

Asian

Black or African American

Hispanic or Latinx

Native Hawaiian or other Pacific Islander

Non-Hispanic White

Prefer not to say

Required

What is your Gender? *

This will be used to help BFAC ensure "everyone is seated at the table!"

Male

Female

Non-Binary

Prefer not to say

Other:

What is your role in the food system? Please select 1 or more from the following categories: *

*To be publicly shared.

Distributor (food rescue; food pantry; food banks; community-based organization; churches)

Producer (farmers; food manufacturers)

Retailer (farmers markets; grocery stores; bodegas)

Government (health center; public schools; etc)

Education (university; researcher)

Community Resource(s)/Outreach

Advocacy/Resident

Other:

Required

What is your current and/or prior role in BFAC? *

Please check all that apply

Working Group Member

Observer- attend general meetings, not working group

Not Active

BFAC Intern

Working Group Co-Chair

Steering Committee Member

Steering Committee Co-Chair

Other:

Required

From a technological standpoint, what are up to three of your top choices to socially engage with BFAC members?

Select up to 3

Facebook

Instagram

Slack

Community Digests in Email

Newsletters by Postal Mail

Our goal is to make a "BFAC Members Only" Directory. Do we have your consent to share your information publicly if we decide to make the list public? *

Anything you'd like to add to the question above, or in general?

Are you employed by or otherwise represent an organization in the food system? *

Yes

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