Exit this survey Making Connections 1. Registration Saturday, May 1, 2010 8:30 am to 2:00 pm Merritt College12500 Campus DriveOakland, CA 94619 The information regarding organizations and businesses will be compiled into a resource guide. Please be as detailed as possible.An asterisk ( * ) after the field name indicates it is a required field. Question Title Personal Information First Name * * Last Name * * Title Organization * * Website Question Title Describe your organization/business’s programs/services/activities. Question Title Address Information Street Address * * City * State * -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Zip Code * Question Title Contact Information Work Phone * * Home Phone Mobile Phone Email Address * * Question Title What issues are you interested in? Youth Education Faith Health & Human Services Businesses Public Safety Economic Development Housing Environmental Justice Arts/Culture Media/Technology Civic Engagement Other (please specify) Next