Guaranteed Income Demonstration Site Information Form

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The purpose of this form is to gather information on current and planned guaranteed income demonstration sites.

This directory will be shared on the Guaranteed Income Community of Practice website, GICP.info, as well as on the Stanford Basic Income lab map, to give a detailed view of the landscape of demonstrations across the country.

One person from the organization overseeing the site should complete this form. This questionnaire will ask about various aspects of your program including: amount of the cash intervention, its duration, population of focus, and funding status. We will be using the information you provide to make searchable tags so please be as specific as possible in your answers. Some responses are optional.

If you are managing more than one pilot, please submit a survey for each one.

This form will take approximately 10 minutes to complete.

If you have any questions about completing this form or need assistance, please contact Shafeka Hashash (Shafeka@economicsecurityproject.org)

Email *

What is the name of your pilot/demonstration? *

Website for pilot/demonstration (if available)

What organization is overseeing the pilot/demonstration? *

Where is your pilot/demonstration located? *

How many recipients are, or anticipated to be, in the program? *

What is the amount of the monthly cash transfer in your program? *

How many months will participants receive the cash transfers? *

What population does the guaranteed income support (I.E. single mothers, LGBT, etc) *

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