Safer Together Interest Form
Yes, I'd like to know more about upcoming community discussions and other activities to be part of making my neighborhood and community safer.
Name *
Phone Number
Can we text this number?
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Email Address
Area Map
We are working with a community initiative that focuses on a specific region of East Winston. Do you live in the area indicated in blue on the map above? *
If yes, which neighborhood do you live in?
What topics, ideas or concerns would you like to see addressed in your community?
Demographics
For our program reporting
How do you describe yourself
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How do you describe yourself?
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Age Range
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What is your zip code?
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