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Community Safety Initiative Focus Group signup form

  1. INTEREST TO ATTEND A FOCUS GROUP SESSION ON COMMUNITY SAFETY
    These focus group sessions are being scheduled for the City of Eugene to listen to Black, Indigenous, and other people of color regarding community safety. Please use this form to confirm your interest and availability to attend a focus group regarding potential changes to the Community Safety Initiative.
  2. Your racial and ethnic identity*
    Check all options that apply to how you describe yourself
  3. Please indicate your affiliations with any nonprofits, religious organizations, schools or universities, government agencies, etc.
  4. Indicate your availability to attend a focus group session
    Check all that apply. HRNI staff will coordinate your registration for one of the focus group sessions via e-mail or phone.
  5. Other ways to participate
    If the dates above do not work you, you can participate in this discussion by attending a public meeting (dates TBD), answering a survey, and submitting questions or reading available answers at a Q&A page. See details at www.eugene-or.gov/CSIengagement
  6. Leave This Blank:

  7. This field is not part of the form submission.