Census 2020: Request to Host a Questionnaire Assistance Kiosk (QAK)
Organizations or businesses interested in hosting a Census Questionnaire Assistance Kiosk may fill out this form to receive more information and will be contacted by a San Mateo County Census team member.
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What is your first name? *
What is your last name? *
What is the name of your organization or business?
What is your email address? *
What is your phone number? *
Do you have at least one computer / mobile device with internet access that would be available to the public from mid-March through July 2020? *
Would you be willing to sign a Release of Liability waiver? *
Will someone from your organization/business be able to attend an online training webinar? *
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