Spotlight Questionnaire - Community Member

Community Member Spotlight

Thank you for your interest in putting your Community in the LeadingAge Texas Spotlight!

Please fill out the information below and EMAIL A PHOTO of your Community (preferably JPEG) to amanda@leadingagetexas.org for your Community's chance to be recognized in the Spotlight!

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* 1. Name and city/town of Community

Company:

City/Town:

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* 2. Name, email address, and phone number of contact person (this information will be used for LeadingAge Texas to contact you should we have any questions, etc.)

Name:

Email Address:

Phone Number:

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* 3. Website

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* 4. Social Media URLs

Facebook:

Twitter:

LinkedIn:

Others:

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* 5. Mission/Vision

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* 6. Fun fact about the Community

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* 7. Noteworthy accomplishment by the Community within the past 2 years

Thank you for your participation! DON'T FORGET to EMAIL A PHOTO of your Community (preferably JPEG) to amanda@leadingagetexas.org.