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Community Readiness Assessment Questionnaire
Step 1 in Connect Humanity's Digital Equity Planning Grant process.
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* Indicates required question
Email
*
Your email
Your Name (First Last)
*
Your answer
Your Organization/Entity Name
*
Your answer
Type of Organization
*
Cooperative
Municipal
Non-Profit Organization (501(c)3)
For-Profit
Other:
Your affiliation with the community.
*
Your answer
What STATE are you located in?
Your answer
What CITY are you located in?
*
Your answer
If you are in an Appalachian Subregion, as defined by the Appalachian Regional Commission, please select which subregion:
*
https://www.arc.gov/map/subregions-in-appalachia/
Northern
North Central
Central
South Central
Southern
Not in an Appalachian Subregion
I don't know
County or counties the planning process will serve:
*
Your answer
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