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CCAWR Waterloo Region Community Survey
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Family Brunch 2019 Flyer
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Afric Caribbean Book Club
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CCAWR 2019 Yard Sale
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Thank you for taking the time to complete our survey. You can contact us at
info@ccawr.ca
anytime.
CCAWR Waterloo Region Community Survey
CCAWR Waterloo Region Community Survey
If you are human, leave this field blank.
Are you a resident of Waterloo Region? (Cambridge, Kitchener, Waterloo, North Dumfries, Wellesley, Wilmot, Woolwich?)
Yes
No
Don't know
Do you, or any member of your immediate family, have Caribbean ties, or ancestry?
Yes
No
Don't know
Do you, or any member of your immediate family, identify as African, Caribbean or Black? (ACB?)
Yes
No
Do you volunteer with any African, Caribbean or Black organizations at your school, workplace, or in the community?
Yes
No
The CCAWR is polling the Region's residents to see what activities and events they would be interested in attending, or participating in, or otherwise contributing to. Please tell us your top three (3) wishes for CCAWR activities/events/programs. They can be for you, or for a family member. #1:
#2
#3
Would you like to be added to the CCAWR's mailing list? The information will be used for CCAWR communications only, not shared with any other organizations. If "Yes", enter at least your Email Address, then your Name.:
Name
Address is optional:
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Address is optional:
Address is optional:
City
City
State/Province
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