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.
Can we text this number?
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?
No, but I attend church/worship in this area
No, but I work in this area
No, but I go to school (or my kids go to school) in this area
I live in an area adjacent to these neighborhoods
If yes, which neighborhood do you live in?
What topics, ideas or concerns would you like to see addressed in your community?
For our program reporting
How do you describe yourself
How do you describe yourself?
Hispanic or Latinx
Black or African-American
13 or under
What is your zip code?
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This form was created inside of Valerie Glass.