DRE Community Conversations - Resident Registration
DRE in Your Community – We encourage Arlington residents to sign up for small interactive virtual conversations with neighbors to learn and discuss race and equity in Arlington County.
Sign in to Google to save your progress. Learn more
Arlington County is partnering with Challenging Racism to host Dialogues on Race and Equity
Full name (First and Last Name) *
Email Address *
What date would you like to attend the dialogues? (A confirmation email will be sent to you under separate cover.) *
What Arlington neighborhood do you live in?   Don’t know your civic association? Try using this Interactive Map - https://gis.arlingtonva.us/gallery/map.html?webmap=5df3648db148426c839aeaa8d00334ed *
What is your race and/or ethnicity? Check all that apply.
How old are you?
Clear selection
What type dwelling do you live in? *
Do you rent or own? *
Please list any ADA (Americans with Disabilities Act) reasonable accommodations you require to participate in this virtual session. Please provide as much advance notice as possible. Requests for sign language interpreters must be made at least five (5) full business days in advance.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Challenging Racism.

Does this form look suspicious? Report

Google Forms