2020 Census
Outreach Tracker

Use this form to help us track our Census outreach across Long Island. Together we can get the word out about everything the Census impacts and ensure a Complete Count in 2020!

Question Title

* 1. Please tell us about yourself.

Name

Organization

Title

Subcommittees

Email Address

Phone Number

Question Title

* 2. What Census outreach activity did you complete?

Question Title

* 3. What is the scope of this Census outreach?

Island-wide

Nassau County

Suffolk County

Town Specific (please specify)

Question Title

* 4. Is there a plan for follow up or next steps? If yes, please describe.

Question Title

* 5. If you need resources or materials to help foster future outreach, please describe below:

Question Title

* 6. Are there any upcoming events that you would like to register for Census outreach?

Event Name

Organizer

Date

Location

City/Town

Expected Attendance

2020 Census Outreach Tracker

Question Title

* 1. Please tell us about yourself.

Question Title

* 2. What Census outreach activity did you complete?

Question Title

* 3. What is the scope of this Census outreach?

Question Title

* 4. Is there a plan for follow up or next steps? If yes, please describe.

Question Title

* 5. If you need resources or materials to help foster future outreach, please describe below:

Question Title

* 6. Are there any upcoming events that you would like to register for Census outreach?

Question Title

* 7. Please include any additional questions or comments here.

2020 Census
Outreach Tracker