WESTSIDE RISING LDCE Sessions Question Title * 1. Please enter your contact information. Name * Company/Organization Address City/Town State/Province -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming ZIP/Postal Code Email Address * Phone Number * OK Question Title * 2. I am registering for the following session(s) held the last Tuesday of each month at 3:30 pm January 25, 2022 @ 4 pm February 22, 2022 @ 4 pm OK Question Title * 3. I attended the previous meeting Yes No OK Question Title * 4. What West Side Community do you live or work in? OK Question Title * 5. I am an individual that... Live Work Live & Work on the West Side Other (please specify) OK Question Title * 6. I am a concerned West Side leader that wants to... Be kept informed about WESTSIDE RISING activities Attend WESTSIDE RISING Meetings Participate in trainings Be a part of the engagement team Be a Youth Ambassador Work on issues that impacts the West Side Participate in outreach activities: Conduct Surveys, Collective door-knocking, phone banking, attend other community meeting to share information with WR. I have other expertise I'd like to share with community leaders Other suggestions or expertise you'd like to share with community leaders. OK Question Title * 7. How did you hear about the Leadership Development and Civic Engagement Sessions? OK Question Title * 8. What additional training would you like WESTSIDE RISING to host? Suggestion 1 Suggestion 2 Suggestion 3 OK Question Title * 9. Do you know other people that may be interested in attending these sessions? If so, list their NAME, PHONE NUMBER, and EMAIL ADDRESS. Person #1 Person #2 Person #3 OK DONE