FY25 Budget Feedback Session Registration Form

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Thank you for your interest in participating in the City of Philadelphia's Budget Office FY25 Budget Community Feedback Session.

We have officially closed our registration for participating in the Fall portion of our FY25 Budget Engagement, but will hold future sessions in Spring 2024.

Please complete the form if you would like to participate in our Spring FY25 Budget Engagement, and stay up to date with future Budget updates.

For more information on the City of Philadelphia's Budget click here

Thank you again for your interest in joining neighbors across Philadelphia to discuss the future of the City’s spending.

Information gathered is completely optional and helps the Budget Office engage with a diverse array of participants. No personal or identifying information will be shared or made available.

Email *

Your full name *

Are you a current City of Philadelphia Employee? *

Yes

Please check all that apply *

I live in Philadelphia

I work in Philadelphia

I own a business in Philadelphia

None of the above

Required

If you live in Philadelphia, how long have you lived within the city?

What is your zipcode? *

What gender do you identify as? *

Female

Male

Non-binary / Third Gender

Intersex

Prefer not to say

Other:

Do you identify as transgender?

Yes

Prefer not to say

Clear selection

What is your preferred language?

What race do you identify as? Select all that apply *

Black/ African American

White / Caucasian

East Asian

Southeast Asian

Pacific Islander

Native American / Indigenous / American Indian

Other:

Required

Do you identify as Hispanic or LatinX *

Yes

How old are you?

Under 18 years old

18-25 years old

25-40 years old

40-65 years old

65 years or older

Clear selection

What is your highest level of education? *

Less than 9th Grade

Some Highschool but did not graduate

High School Graduate / GED

Some College (no Degree)

Vocational / Trade School

Associate's Degree

Bachelor's Degree

Graduate or Professional Degree

Other:

What is your yearly income?

At or below $12,000

$12,000-$20,000

$20,000-$30,0000

$30,000-$40,000

$40,000-$60,000

$60,000-$80,000

$80,000-$100,000

Greater than $100,000

Other:

Clear selection

Do you rent or own your current residence?

Own

Rent

Other:

Clear selection

Would you identify as having a disability?

Would you need technical, language, or other assistance to participate with our virtual feedback session?

I would like to participate in the FY25 Budget Engagement during Spring 2024

Yes

Are you a member of a nonprofit, community group or local organization who would be interested in hosting a FY25 Spring Budget Engagement Session?

Yes

Clear selection

If you answered yes to the above, please let us know the name of your group, best way to contact you, and a bit about the community you are connected to, work, services, or issues you focus on.

Would you like to receive future updates on how to stay involved with the Budget Office?

Yes

Clear selection

A copy of your responses will be emailed to the address you provided.

Submit

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