There was an error trying to submit your form. Please try again. Our Community Survey First Name This field is required. Last Name This field is required. Mailing Address (Optional) If you’d like to receive updates, event invitations, or community resources from our partners by mail, you can share your mailing address below. Mailing Address (Street or P.O. Box) Address Line 1 This field is required. Address Line 2 This field is required. City This field is required. State This field is required. Postal Code This field is required. 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Phone Number (Optional) If you’d like to receive text or phone call updates from our partners about community events, volunteer opportunities, emergency alerts and more, you can provide your phone number below. Cell Phone Number This field is required. Home Phone Number This field is required. I agree to be contacted by phone or text message for Alliance-related updates. Community Insights Help us learn more about who we’re serving! These questions are optional, but your responses help support our inclusive outreach efforts and qualify for equity-based funding opportunities. The more we understand our community, the better we can serve it. Zip Code (So we know what parts of the mountain we’re reaching.) This field is required. Age Range Select an option Under 18 18-24 25-39 40-54 55-69 70+ Race and Ethnicity (Multiple Choice) American Indian or Alaskan Native Asian Black or African American Hispanic or Latino Native Hawaiian or Pacific Islander White or Caucasian Middle Eastern or North African Mixed Race or Ethnicity Another Race or Ethnicity I Prefer Not To Say Community Role (Multiple Choice) Full-Time Resident Part-Time Resident Visitor Business Owner Organizational Partner Other Topics Your Interested In (Multiple Choice) Community Events Youth Programs & Education Emergency Preparedness Local Economy & Jobs Environmental Stewardship Arts, Music, & Culture Volunteer Opportunities All of the Above How Did You Hear About Us? Select an option Flyer Radio Social Media Word of Mouth Website Community Event Volunteer Interests (Optional) Are you interested in volunteering with any of our partner organizations? Select all that apply — someone will reach out with more info based on your interests. KKRN 88.5 FM Community Radio Mountain Community Center Big Bend Community Center Big Bend Community Land Trust Not Right Now I'm not sure - please send info! What would you like to hear more about or see more of in our community? Privacy Notice Your Privacy Matters. Your responses are confidential. All data will be stored securely and only used by the Big Creek Mountain Communities Alliance for community outreach, planning, and reporting purposes. Sensitive information (such as race, age, or contact details) will never be shared or sold. Submit There was an error trying to submit your form. Please try again.