Poverty Simulation Registration Survey

Fillmore County Public Health and Semcac are hosting a Poverty Simulation.

This is a live-action simulation to role-play lives of low income families. It is a way to understand poverty through an experiential setting, empower low-income volunteers to interact with leaders from their community, and view poverty as a reality. Join us to learn, empathize, and work for change!

This simulation is intended for policy makers, community leaders, students, organizations, and anyone who wants to be an advocate for people living in poverty.

The Poverty Simulation will take place on Monday, November 2, 2026 from 1 to 3 PM. This event will take place at the Mabel Community Center located at 201 Main Street South, Mabel, MN 55954. This event is free to attend. Community members interested in participating are asked to complete this form by noon on October 29, 2026.

1.There are two roles for the Poverty Simulation. Please read the descriptions below and then select one choice.

I would like to be a "Volunteer Organization." In this role, I will play the part of an organization who serves people living in poverty. This role means I will need to arrive by 12:30 to complete training before the simulation starts.

I would like to be a "Participant." In this role, I will play the part of a person living in poverty. This role means I will need to arrive by 1:00 PM.

I am interested in either role and will let organizations select based upon the roles needed for the simulation. Please confirm which role I will be placed in so that I arrive at the appropriate time.

2.Please enter your contact information here so that we may reach you with additional details before the simulation.

Name

Organization

Address

City

State

Zip Code

Phone Number

E-Mail