KCUR and StoryCorps: One Small Step - Potential Participant Survey
We're very excited you want to share a conversation with someone else who has different political views as part of KCUR and StoryCorps' "One Small Step" project.

To pair you with the right person, and facilitate the best conversations possible, we want to get to know you and ask that you fill out this brief survey.

There are a few questions that are required, but many are optional. Please consider the information you share about yourself will allow us to find the best match for the conversation you're hoping for. Other than the final question, all other responses will be confidential.

The interviews will begin in March and conclude by July. If you're selected a KCUR producer will be in contact with you to set up the partner pairing and the actual recording. With limited resources we won't be able to pair every single person that applies, we will notify you either way.

Thank you and we look forward to these conversations.

How did you hear about "One Small Step?"
Your answer
First name *
Your answer
Last name *
Your answer
State
Where you live.
Zip code
Where you live. Please provide your response as a complete five digit zip code. Example: "64110"
Your answer
Email *
What is the best email address to reach you at?
Your answer
Phone *
Enter the best number to reach you directly. Please enter a complete phone number, including your area code. Example: "816-235-1551"
Your answer
Preferred method of contact
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