Community Information

Please share the name, form of government, population, and zip code of your community. This information will be used in Diversity Dashboard to compare and contrast across communities with similar demographics.

Your contact information will not be shared with other organizations. Your contact information will not be used for ELGL content updates. Reported data from this survey will only be shared by locality, and the names and contact information for respondents will not be shared. 

Self-reported data is critically important for the success of the Diversity Dashboard. Thank you for your prompt completion of this short four-page survey.

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* 1. Which year are you reporting?

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* 2. Community Name

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* 3. Community Type

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* 4. County Name

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* 5. State

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* 6. In what ZIP code is your city hall/government center located? (enter 5-digit ZIP code; for example, 00544 or 98501)

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* 7. Community Population

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* 8. Form of Government

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* 9. Please select your level of administration from the items below.

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