KIDS COUNT in Colorado! Community Dialogue Sessions

Please complete this brief, 3-minute survey so that we can move forward with organizing details for the KIDS COUNT in Colorado! community dialogue sessions.

Sessions for community organizations will each include a drawing to win a $500 donation to a participating organization.
Sessions for community members will provide a light meal and $50.00 gift cards for all participants as a thank you for participation.

We are excited to have your unique perspective represented at these sessions!

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* 1. Name

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* 2. Email address

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* 3. Telephone number

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* 4. Gender

Female

Male

Trans*

Prefer not to answer

Other (please specify)

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* 5. Race/Ethnicity (choose all that apply.)

American Indian or Alaska native

Asian

Black or African American

Hispanic/Latino

Native Hawaiian or Other Pacific Islander

White

More than one race

Other (please specify)

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* 6. Age

Under 19 years

20-29 years

30-39 years

40-49 years

50-59 years

60 years and over

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* 7. Please indicate your region.

Denver

Fort Morgan

La Plata

San Luis Valley

Other Region (please specify)

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* 8. Please share your general interest in sessions below.

I am interested in participating in a dialogue session for community organizations and will participate on behalf of my organization.

I am interested in participating as a community member in a dialogue session for community members.