General Questions
We invite you to take part in a research study (Legacy Builders Program), which seeks to identify the effects of poverty on individuals and communities. Taking part in this research is entirely voluntary. We urge you to discuss any questions about this study with our staff members. Talk to your family and friends about it and take your time to make your decision. If you decide to participate you must sign this form to show that you want to take part.

Please read the Research Consent Form.
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Email *
Race | Ethnic Identity *
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Gender: How do you identify? *
Zip Code *
Yearly Income *
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