Let us know about you!
Dear Athens-Clarke County citizen:

In an effort to ensure the diversity of the Implementation Oversight Committee, please take a few minutes to complete this questionnaire.

Please do this by March 9, 2018.

I appreciate your attention to this request, as it is a critical step in launching the Envision Athens Implementation process.

- Sharyn Dickerson, Co-Chair Envision Athens

Email address *
Section A. Personal Information
Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Email *
Your answer
If currently employed, name and location of Employment/Employer *
Your answer
Occupation *
Your answer
Do you belong to any civic, religious, professional boards or organizations? If so what is your position?
Your answer
If yes, please select the category that best fits your organization
Please indicate the business or organization's name
Your answer
Section B. Background and Interest
Why are you interested in being a part of this process? *
Your answer
Please provide 3-5 examples of professional, volunteer and personal experience that might be relevant to planning the future of Athens-Clarke County. *
Your answer
Section C. Demographics
The steering committee seeks to be reflective of Athens-Clarke County diversity and broad range of perspectives. Filling out the information below ensures that the committee is a true cross section of the community.
Gender *
Age *
Highest Level of Education *
Race / Ethnicity *
Residence status *
How long have you lived in Athens-Clarke County? *
Your answer
Do you have school-aged children living in your household? *
If you have school-aged children, what are their ages? Are they in public or private schooling?
Your answer
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