We want to learn about you
Please complete this form to the best of your ability.
Last Name, First Name
City, State and Zip
Are you currently a member of HBCC or any other Chamber of Commerce? If so, please list them.
What is your highest level of education completed?
Less than a high school diploma
High School Diploma
Advanced College Degree
What social media platforms do you use? Please provide your handles.
Prefer not to answer
How did you hear about HBCC and the Recovery Program
Friend or Family Member
Social Media or Website
Media (Newspaper, Radio or TV)
I am a HBCC Member
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