Johnson County UCS Task Force/Perspective Panels Sign Up

Thank you for your interest in joining the
Johnson County Housing for All Task Force Perspective Panels.
The information you provide will help us make sure the Task Force has members
representing a wide range of people and experiences in Johnson County.
(Para la versión en español haga clic aquí)

Everyone in Johnson County is impacted in some way by the issue of safe, stable, attainable housing. The Task Force will use a broad range of experiences, perspectives, interests, and motives to build comprehensive community support for the implementation of housing strategies.

Safe, stable, attainable housing is vital for all residents. We recognize the impact on residents varies and want to ensure those most directly affected including low-income and poor residents, fixed-income residents, residents with mental health issues, uninsured residents, people of color, residents experiencing homelessness, and our workforce are represented on the Task Force. UCS will be working to ensure that the most impacted residents in our community have an essential role.

The Task Force will Kick-off with a Zoom meeting in October followed by Online Activities and Information for you to engage in before the Task Force Workshop Meetings take place - January through April 2021.

Your information is confidential and will not be used for any other purpose than to make sure we have assembled a Task Force representing our community.

Question Title

* 1. Contact Information

First Name

Last Name

Company/Organization

Address

Address 2

City/Town

State

Zip

Email Address

Cell # (to receive text messages)

Other Phone Number

Question Title

* 2. What are the areas you are most interested in addressing with the task force? (check all that apply)

Market Realities - Reducing Costs and Sharing Risk

Moving People from Not In My Backyard (NIMBY) to Yes In My Backyard (YIMBY)

Preserving Existing Affordable Housing

Addressing Socio-Economic Challenges Related to Housing Affordability

Other (please specify)

Question Title

* 3. Tell us from which of the following describes you best (select all that apply):

I live in Johnson County

I work in Johnson County

I am a business owner in Johnson County

I go to school in Johnson County

I don’t live or work in Johnson County, but would like to be a part of this Task Force

Question Title

* 4. Check the categories that apply to you. (check all that apply)

Employer / Developer

Educator

Health Care or Social Services Provider / Community Leader

Resident concerned about housing affordability issue

Other (please explain)

Question Title

* 5. Check the category that applies to your living situation.

Rent

Own

Live with parents or family members

Other (please specify)

Question Title

* 6. What is your race or ethnicity?

Asian

Black

Hispanic/Latinx

Native American

White

Other (please specify)

Question Title

* 7. What is your age range?

Under 18

18-24

25-34

35-44

45-54

55-64

65+

Question Title

* 8. What is your highest level of education?

Less than high school diploma

High school diploma or equivalent (GED)

Some college but no degree

Technical or occupational certificate or diploma

Associate degree

Bachelor's degree

Graduate degree

Question Title

* 9. We are particularly interested in engaging people who are experiencing housing issues. Please check any of the following that apply to your household: (select all that apply)

Annual household income is at or below 200% of the federal poverty level
Number in Household 200% of the poverty level
Household of 1 =$25,520
Household of 2 = $34,480
Household of 3 = $43,440
Household of 4 = $52,400
Household of 5 = $61,360

Spend more than 30% of my household income on housing

Have experienced homelessness

Have been uninsured

Have a disability (physical or mental)

Work in office and administrative support

Work in sales including retail sales

Work in food prep and serving

None of the above

Question Title

* 10. Do you need accommodations in order to participate?
Please answer with detail that will help us address your needs. We will also follow up with you individually.

Do you need a language interpreter? And, if so, what language?

Do you need a sign language interpreter?

Vision accommodations?

Other accommodations?

Question Title

* 11. This may seem redundant to a question above, but please check all of the categories that apply to you.

Builder/Developer

Business Owner

Chamber and/or Economic Development

Community Organization

Non-Profit

Development Professional (ie Architect, Engineer, etc)

Government Official (elected or appointed)

Health Care Worker / Health Care Provider

Homelessness Service Provider

Housing Authority

Landlord and/or Property Manger

Major Employer

Realtor and/or Lender

School District / Educator

Senior and/or Disability Advocate

Summit Attendee

UCS Board

Resident

Other (please explain)

Question Title

* 12. This may also seem redundant, but please check all of the categories that apply to you.

Renter

Resident with Low or Fixed Income

Person of Color

Senior or Retired

Member of the Johnson County Workforce

Under Housed and/or Homeless

Resident with Special Needs and/or Disabled

Resident with Mental Health Challenges

Resident in Public Housing

None of the Above

Is there another area you want us to consider?

Johnson County UCS Task Force/Perspective Panels Sign Up

Question Title

* 1. Contact Information

Question Title

* 2. What are the areas you are most interested in addressing with the task force? (check all that apply)

Question Title

* 3. Tell us from which of the following describes you best (select all that apply):

Question Title

* 4. Check the categories that apply to you. (check all that apply)

Question Title

* 5. Check the category that applies to your living situation.

Question Title

* 6. What is your race or ethnicity?

Question Title

* 7. What is your age range?

Question Title

* 8. What is your highest level of education?

Question Title

* 9. We are particularly interested in engaging people who are experiencing housing issues. Please check any of the following that apply to your household: (select all that apply)

Question Title

* 10. Do you need accommodations in order to participate?
Please answer with detail that will help us address your needs. We will also follow up with you individually.

Question Title

* 11. This may seem redundant to a question above, but please check all of the categories that apply to you.

Question Title

* 12. This may also seem redundant, but please check all of the categories that apply to you.

Question Title

* 13. Did someone refer you to the Task Force, and if so, who?

Question Title

* 14. Is there anything else you would like us to know?

Johnson County UCS Task Force/Perspective Panels Sign Up

Question Title

* 1. Contact Information

Question Title

* 2. What are the areas you are most interested in addressing with the task force? (check all that apply)

Question Title

* 3. Tell us from which of the following describes you best (select all that apply):

Question Title

* 4. Check the categories that apply to you. (check all that apply)

Question Title

* 5. Check the category that applies to your living situation.

Question Title

* 6. What is your race or ethnicity?

Question Title

* 7. What is your age range?

Question Title

* 8. What is your highest level of education?

Question Title

* 9. We are particularly interested in engaging people who are experiencing housing issues. Please check any of the following that apply to your household: (select all that apply)

Question Title

* 10. Do you need accommodations in order to participate?Please answer with detail that will help us address your needs. We will also follow up with you individually.

Question Title

* 11. This may seem redundant to a question above, but please check all of the categories that apply to you.

Question Title

* 12. This may also seem redundant, but please check all of the categories that apply to you.

Question Title

* 13. Did someone refer you to the Task Force, and if so, who?

Question Title

* 14. Is there anything else you would like us to know?

* 10. Do you need accommodations in order to participate?
Please answer with detail that will help us address your needs. We will also follow up with you individually.