Census 2020: Every Person COUNTS Interest Survey

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Santa Cruz County and Community Action Board (CAB) are partnering to ensure that every resident in Santa Cruz County is counted during the 2020 Census. There are numerous ways you can become involved. Please complete this short form and someone from CAB will be in touch! Please allow up to 72 hours for us to process your request.

Your information will not be shared outside of CAB and will be used for Census outreach efforts ONLY.

Name (first and last) *

Email Address *

Telephone Number *

I live in *

I am interested in upcoming volunteer opportunities related to census work in Santa Cruz County. *

Yes

Maybe

I would like to help with the census in the following ways. Check all that apply. *

Phone banking from home

Tabling at community events

Making announcements or holding small information sessions at my workplace

Helping to translate census materials into languages spoken in my community

Distributing materials or passing out flyers

Starting a Census Pod/small network and encourage others to become volunteers

Volunteering at the CAB Office

Writing letters to local news outlets encouraging participation in the census

Helping to develop unique census materials that meet the needs of our community

Not interested at this time

Other:

Required

Language: I have the following language skills that might be of value in our community.

I have connections or can be involved in Census outreach in these areas. (Check all that apply) *

Retired Community

Vets

LQBTQ

Homeless

Immigrant

K-12 Education

Higher Education

Youth

Faith-based Groups

Business

Non-English Speaking

None of the above

Other:

Required

Please leave any additional comments, questions or ideas below.

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