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Privacy Notice:
Information provided in this survey is considered a public record and may be subject to public disclosure. For more information, see the Public Records Act, RCW Chapter 42.56. To learn more about how we manage your information, see our Privacy Statement
 
Please complete the short questionnaire below. Before completing the form, please check if you live in an eligible property. If you need a replacement card, please call or text (206)256-6722 or email ORCAOpportunity@seattle.gov. 

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* 1. 您的姓名是什么?

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* 2. What is your t-code? (It's on your rent statement)

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* 3. 您的地址是什么?

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* 4. 您目前是 SHA Transit Pass 公交卡计划的参与者吗? (即您目前是否有收到 SHA 提供的免费 ORCA 卡?)

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* 6. 您的出生日期是何时?

日期

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* 7. 您的种族或民族是什么?请选择所有适用项。

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* 8. 您交流时的首选语言是什么?

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* 9. 您是从哪里听说这个项目的?请选择所有适用项

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* 10. 我们与您联系的最佳方式是什么?请注意:未经您的许可,我们不会共享您的联系信息。我们将使用它来确认资格,让您了解该计划的最新进展或更改事项,或未来发送有关该计划如何运作的问卷调查。

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