Secret Shopper Interest Form
Change Today, Change Tomorrow is relying on members of the community to survey 100 local, white-owned businesses to asses their implicit biases, micro-aggressions, and even blatant overt racism. Please fill the form out below if you are interested in participating in this 2021 program.
* Required
Your Name
*
Your answer
Your Email Address
*
Your answer
Your Cell Phone Number
*
Your answer
Your Race
*
Black
American Indian or Alaska Native
Asian
Native Hawaiian or Other Pacific Islander
White
Two or More Races
Your Age
*
18-24
25-35
36-47
48-60
60+
Other:
Thank You!
We will contact you within one week via email with a store assignment and follow up instructions.
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