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Power of Local Voting- Hartford Local Election Workshop Registration
Health Equity Solutions with support from the Hartford Foundation for Public Giving is excited to offer two free commmunity workshops on the power of local voting! Come learn about the importance of local voting! Why it matters, how it relates to your health, and what it means to build community power through voting. Let's all pledge to vote for health equity this election!
We are excited to have you join us! Please fill out the registration information below. If you have any questions or would like more information please reach out to Namandje Wali (nwali@hesct.org)
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Email
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Your email
First Name/ Primer Nombre/Fos Name
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Your answer
Last Name/Appellido/Laas Name
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Your answer
City/Cuidad
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Your answer
State/Estado
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Your answer
Zip Code/Código Postal
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Your answer
Please select all that apply/Seleccione todas las que correspondan/Please select all a dat apply
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American Indian/Alaskan Native; Indio Americano/Nativo de Alaska
Asian (Indian, Chinese, Filipino, Korean, Vietnamese, Japanese, Other); Asiático (Indio, Chino, Filipino, Coreano, Vietnamita, Japonés, Otro)
Black/Melanated/African American; Negro/Melanado/Afroamericano
Hispanic/Latino (Puerto Rican, Dominican, Cuban, Mexican, Other); Hispano/Latino (Puertorriqueño, Dominicano, Cubano, Mexicano, Otro)
Middle Eastern/North African; Medio Oriente/África del Norte
Native Hawaiian/Pacific; Nativo Hawaiano/Pacífico
White/Caucasian; Blanco/Caucásico
Prefer Not to Respond; Prefiere No Responder; Prefa Nuh Fi Respond
Unknown; Desconocido
Other:
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Will you need to access interpretation services?/¿Necesitará acceder a servicios de interpretación?/
Yuh ago need fi access interpretation services?
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Yes/Sí
No/No
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