RSVP - University District Be Well Focus Group

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Please RSVP for your focus group

Email *

First and Last Name *

Phone Number *

How are you connected to the University District? Check all that apply *

I live in the University District

I work in the University District

I attend classes in the University District

I am part of a congregation / faith based group in the University District

I am a frequent visitor of the University District

Other:

Required

There will be one (1) focus group per district as defined by the University Area Commission map (below).

Using the map above, please select the area you live, work, or visit in the University District with the focus group date and time *

Southeast Zone, District 3: Tuesday, February 15th, 5:30pm-7:00pm

Northwest Zone, District 2: Thursday, February 17th, 5:30pm-7:00pm

Southwest Zone, District 4: Tuesday, February 22nd, 5:30pm - 7:00pm

Northeast Zone, District 1: Thursday, February 24th, 5:30-7:00pm

I would like to participate, but I cannot make the selected time for my area

I am not able to participate

Send me a copy of my responses.

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