New York Counts 2020 Questionnaire
Please complete this questionnaire to officially join the New York Counts 2020 coalition. We look forward to working with you to ensure a fair and accurate count in 2020!
Organization Name
Your answer
Organization Address
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Organization Borough or County
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Contact Person
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Title
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Email
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Phone
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Languages spoken by organization's staff and volunteers:
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Constituent Base: (in which boroughs or county, if outside NYC, do majority of constituents live):
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Primary age group your organization serves (check all that apply):
Name U.S. House Representative(s) where organization/members are primarily located:
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Name State Senator(s) where organization/members are primarily located:
Your answer
Name State Senator(s) where organization/members are primarily located:
Your answer
Name State Assembly person(s) where organization/members are primarily located:
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If organization is located in NYC, what city council district (s) is your organization/members primarily located in or who is the City Council representative?
Your answer
If organization is located outside NYC, who is the county executive(s) for where your members primarily live?
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