#ActLocal Local Leadership Survey
Thank you for your interest in participating in #ActLocal2017, a set of coordinated, progressive convenings happening around November 11, 2017. Please take 10 minutes to answer the following questions. The purpose of this survey is to support the selection of cities for the fall events as well as to determine what your need are in order to tailor content to your needs.
Email address *
What is your name?
Your answer
What organization(s) are you affiliated with?
Your answer
Your title/role at the organization(s)?
Your answer
Where are you located? (city/town, state)
Your answer
What are your responsibilities with the organization(s)? (Select all that apply)
What issue areas does your organization focus on? (select all that apply)
What is the geographic reach of your organization?
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