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Minnesota African Coalition
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Survey Form
Brooklyn Center Opportunity Site Participant Form. Let Your Voice Be Heard.
If checked you acknowledged a member of your household do live, work, or do business in Brooklyn Center , if not, sorry do not proceed. Thank you.
First Name
Last Name
Email Address
Phone
Age
Your full address or provide only your street name and zip code
Do you live or work or do business in Brooklyn Center?
Select from option below
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Do you want to attend Town Hall meeting to learn more about the Opportunity Site?
Yes (We will invite you to our next town hall meeting)
Nope, can’t make it
Maybe, we’ll see
Do you want to attend Focus Group meeting for high value discussions on the Opportunity Site?
Yes (We will invite you to our next town hall meeting)
Nope, can’t make it
Maybe, we’ll see
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