GRCB DEI Assessment Survey Contact Collection
Hello,

Thank you for your interest in supporting GRCB by completing our DEI Assessment Survey via VISIONS, Inc. If you are a former or current youth participant, adult participant, parent/guardian, or program volunteer, but did not receive the survey, or if you are a parent or youth who wants to provide a direct email for youth contact, please complete this form.

If you have any questions, please do not hesitate to reach out: nora@girlsrockboston.org

Thank you!

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Full Name of the person you would like us to send the survey link to: *
Having the name will allow us to update our records. The survey will be anonymous. Responses will be collected, anonymized and presented back to GRCB as a Summary of Findings.
Parent/Guardian, Adult Participant, or Volunteer Email Address: *
If you are a youth, please just write N/A in this field and put your email in the next field.
Youth Email Address: *
If you are a Parent/Guardian, Adult Participant, or Volunteer, please just write N/A in this field and put your email in the previous field.
Which best describes the role(s) in the Girls Rock Campaign Boston community of the person you would like us to send the survey link to? (Please check all that apply) *
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