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

Don't know

Do you, or any member of your immediate family, have Caribbean ties, or ancestry?

Yes

Don't know

Do you, or any member of your immediate family, identify as African, Caribbean or Black? (ACB?)

Yes

Do you volunteer with any African, Caribbean or Black organizations at your school, workplace, or in the community?

Yes

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:

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:

City

State/Province

Zip/Postal

CCAWR Waterloo Region Community Survey

Caribbean Canadian Association of
Waterloo Region

Mission: To promote the social, cultural and economic interests of, and advocate for, the Caribbean community in the Region of Waterloo

Vision: An empowered, collaborative Caribbean community that is fully engaged and equitably represented in the Region of Waterloo

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