Building Blocks is a new City initiative designed to help residents shape the future of their neighborhoods. Through shared learning, skill-building, and open dialogue, Building Blocks strengthens the connection between residents and local government, giving neighbors the tools, knowledge, and relationships to take action and make a lasting impact where they live.

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* 1. Name

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* 2. Please provide your cell phone number (include area code).

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* 4. What is your 5-digit zip code?

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* 5. Email

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* 6. Which Neighborhood Association are you a part of (if none, type "none.")

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* 7. What skills would allow you to participate more fully in civic or neighborhood activities?

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* 8. How long have you lived in Little Rock?

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* 9. What motivates you to participate in neighborhood activities?

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* 10. How interested are you in participating in civic dialogue sessions?

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* 11. What motivates you to participate in civic dialogue? (check all that apply)

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* 12. Would you like to hear about upcoming civic dialogue opportunities?

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* 13. Is there anything else you want to tell us?

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