Section 1: Tell Us About Yourself

The Region 3 Associations (MD, DE, DC, VA, WV, and PA) are committed to maintaining the confidentiality and security of all survey participants' information. Your responses will be used solely for T/TA analysis and will not be disclosed. Data results and comments will remain anonymous and will not be linked to any individual, program, office, or agency. Respondents' names and email addresses may be utilized for follow-up inquiries regarding survey responses and to identify potential participants for T/TA listening sessions or focus groups.

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* 1. Your name:

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* 2. Your work email address:

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* 3. Your state:

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* 4. Your entity type:

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* 5. Your role type (Your primary role in carrying out the CSBG program):

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* 6. Number of Years You Have Worked in the CSBG Network:

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 14% of survey complete.

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