Alton School Board Candidate Forum

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for your interest in the YWCA Get Out the Vote Initiative Voter's Forum on Wednesday, March 22nd at 7 pm in our Gymnasium located at 304 E. Third St. Alton.

You can access the gymnasium through our parking lot on George St (access George St from 4th St as it is one way) --preferred entry for those with mobility issues.

You are also able to park on 3rd Street and enter our facility through our front doors. The gym is located on the second floor so you will need to be able to climb our stairs using this entrance.

The YWCA Get Out the Vote Initiative has organized this event so the community can hear from candidates from the Alton School District Board race.

Please register below to attend this event.

The demographic data requested below is used for United Way and YWCA USA reporting purposes.

If you have any questions, feel free to contact YWCA at 618.465.7774.

Your first and last name *

Phone Number

Email Address *

Please describe your race. *

African-American-Black

Asian or Pacific Islander

Native American or Alaskan Native

Middle Eastern

White or Caucasian

Other

Do Not Wish to Disclose

Please describe your ethnicity.
*

Hispanic or Latinx

Not Hispanic or Latinx

Do Not Wish to Disclose

Please state your age. If you do not wish to disclose, enter DND.
*

Please state how many people live in your household. If you do not wish to disclose, enter DND.
*

Please state your annual income. If you do not wish to disclose, enter DND. *

Please mark any forms of public assistance you recieve.
*

Assisted Housing

TANF (Temporary Aid to Needy Families)

SNAP (Supplemental Nutrition Assistance Program)

WIC (Supplemental Nutrition program for Women, Infants, and Children)

SSI (Supplemental Security Income)

None

Do Not Wish to Disclose

Required

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms