The Millennial Theatre Project Community Input Survey

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At the Akron Civic Theatre, we strive to be an active participant in the community we serve and a place where we are all welcome, treated equally, and can come together as one regardless of race, religion or beliefs. We stand together not just today, but every day with the black community and all others in the fight against racism, bigotry, hatred, and violence.

Through our Millennial Theatre Project and livevirtually platform we will be creating a performance piece constructed from interviews regarding the current climate that is affecting the black community in Akron and around the country. We work hard to respond to the community we serve and your voices are extremely important in helping us appropriately create this performance. Please complete this survey with your feedback.

What issues have you faced due to race in your community?

Have you or someone you know been affected by police brutality? If so, would you like to share?

What changes would you like to see in your community?

What would you like to say to your local government and elected officials?

What would you like to say to members of your community and beyond regarding the challenging times?

Please include any other information you would like us to be aware of:

Email (If you are open to be contacted for additional information regarding your comments):

Which category below includes your age? *

17 or younger

18-23

24-29

30-39

40-49

50-59

60 or older

I identify my ethnicity as: *

Please check as many as you feel apply:

East Asian

South Asian

Black, Afro-Caribbean, or African American

Caucasian

Hispanic/Latinex

Middle Eastern or Arab American

Native American or Alaskan Native

Pacific Islander

I prefer not to answer

Other:

Required

Gender identity: *

(Cisgender individuals identify with the sex they were assigned at birth.)

Male (cisgender)

Non-binary/third gender/gender fluid

Female (cisgender)

Female (Homosexual)

Male (Homosexual)

Transgender (male to female)

Transgender (female to male)

I prefer to self-identify

Name (Please indicate - I prefer not to answer if you would like to remain anonymous): *

Submit

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