Jan 2026 - From Simulation to Change: Leveraging CAPS for Community Impact In-Person Training Pre-Survey

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1. First and Last Name (Required.)

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2. Email Address (Required.)

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3. Agency (Required.)

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4. For what group(s) do you anticipate conducting the Poverty Simulation? (For example: medical students, incoming teachers, community officials, social service providers, etc.)

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5. Please share your previous experience with the Community Action Poverty Simulation. (Select all that apply.) (Required.)

I have never seen a Poverty Simulation.

I have only observed (never participated in) a Poverty Simulation.

I have participated in a Poverty Simulation as a family member.

I have volunteered in a Poverty Simulation as a community resource provider.

I have facilitated Poverty Simulations.

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6. Does your organization currently experience any difficulties facilitating the Poverty Simulation that you hope will be addressed in this training? Please share more information.

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7. What are you hoping to gain from this training?

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8. Do you require additional accommodations in order to attend this event? If so, please explain below. A member of staff may reach out for additional information to help coordinate.

Jan 2026 - From Simulation to Change: Leveraging CAPS for Community Impact In-Person Training Pre-Survey

Question Title

* 1. First and Last Name (Required.)

Question Title

* 2. Email Address (Required.)

Question Title

* 3. Agency (Required.)

Question Title

* 4. For what group(s) do you anticipate conducting the Poverty Simulation? (For example: medical students, incoming teachers, community officials, social service providers, etc.)

Question Title

* 5. Please share your previous experience with the Community Action Poverty Simulation. (Select all that apply.) (Required.)

Question Title

* 6. Does your organization currently experience any difficulties facilitating the Poverty Simulation that you hope will be addressed in this training? Please share more information.

Question Title

* 7. What are you hoping to gain from this training?

Question Title

* 8. Do you require additional accommodations in order to attend this event? If so, please explain below. A member of staff may reach out for additional information to help coordinate.

Question Title

* 9. Do you have any dietary restrictions?

1. First and Last Name (Required.)

2. Email Address (Required.)

3. Agency (Required.)

4. For what group(s) do you anticipate conducting the Poverty Simulation? (For example: medical students, incoming teachers, community officials, social service providers, etc.)

5. Please share your previous experience with the Community Action Poverty Simulation. (Select all that apply.) (Required.)

6. Does your organization currently experience any difficulties facilitating the Poverty Simulation that you hope will be addressed in this training? Please share more information.

7. What are you hoping to gain from this training?

8. Do you require additional accommodations in order to attend this event? If so, please explain below. A member of staff may reach out for additional information to help coordinate.

9. Do you have any dietary restrictions?