Regional Racial Equity & Housing/Homeless Summit Pre-Survey

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* 1. Name

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* 2. Name of your organization / affiliation with housing and homeless services

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* 3. Job Title

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* 4. Have you or your organization engaged in work to look at how race plays a role in homelessness?

No, never saw a need to consider the intersection of race and homelessness

No, but interested in learning more

Yes, but unsure about steps to take to address the issues around race, housing and homelessness

Yes, myself or my organization have historically engaged in meaningful conversations around the intersection of race, housing and homelessness.

Yes, myself or my organization have historically engaged in meaningful conversations and have developed and implemented process and procedures to reduce the impacts of system infrastructures that perpetuate racial inequity.

Other (please specify)

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* 5. Are you or your organization interested in commencing in this work?

Extremely interested

Very interested

Somewhat interested

Not so interested

Not at all interested

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* 6. Can you commit to attending both full day convenings on Thursday October 17th and Friday October 18th?

Yes

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* 7. Do you know another organization or community advocate/leader in your community who is actively engaged in racial equity work related to housing and homelessness who you think we should invite?

Yes

Regional Racial Equity & Housing/Homeless Summit Pre-Survey

Question Title

* 1. Name

Question Title

* 2. Name of your organization / affiliation with housing and homeless services

Question Title

* 3. Job Title

Question Title

* 4. Have you or your organization engaged in work to look at how race plays a role in homelessness?

Question Title

* 5. Are you or your organization interested in commencing in this work?

Question Title

* 6. Can you commit to attending both full day convenings on Thursday October 17th and Friday October 18th?

Question Title

* 7. Do you know another organization or community advocate/leader in your community who is actively engaged in racial equity work related to housing and homelessness who you think we should invite?

Question Title

* 8. If yes to question 7, please list your reference's name, email and affiliation with racial equity, housing and homeless service delivery.