Poverty Simulation Training Contract- July 2023 CAPS Facilitator Training Pre-Survey

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* 1. What agency do you represent?

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* 2. First and Last Name

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* 3. Email Address

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

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

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* 7. 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.