Goldsboro Wayne NAACP 2019 Survey
This community survey is for residents of Wayne County to identify issues of concern in our community.
Are you a Current Member of the NAACP? (Any Branch) *
If Other, please indicate NAACP Unit #
Are you a City of Goldsboro Resident *
If you are NOT a City of Goldsboro Resident, Please Indicate Your Town Below or Indicate the Directional (N.S.E.W.) Section of the County Where You Live
Do You Get the Local Paper in Your Area? *
Do You Regularly Attend Any of These Local Community Meetings? *
Do You Have Children or Grandchildren Attending Schools in Wayne County? *
If You Answered Yes, What Schools Do Your Children or Grandchildren Attend in Wayne County? (If you answered No, enter N/A) *
Employment Status *
If You Answered Employed or Self-Employed, Please Indicate Your Occupation or Type of Business Below. *
What Issues in Our Community Most Interest You? *
How Do You Think the NAACP Can Help Bring Changes? *
Are you willing to volunteer to serve on a branch committee?
Clear selection
What Day of the Week/Time Would You Attend a Monthly Branch Meeting?
Between 10am and 2pm
Between 2pm and 4pm
Between 4pm and 7pm
After 7pm
Are You a Registered Voter?
Clear selection
We Would Like to Keep you Informed on Issues in Our Community, Our State and Nationally. If You Would Like to Receive Emails From Us, Please Provide Your Email Address Below:
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy