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Census 2020 Outreach and Assistance Grant Final Report Form
Sign in to Save Progress
This form has been modified since it was saved. Please review all fields before submitting.
Contracting Organization Name
*
This MUST be the organization the County has a contract with
Implementation Organization Name
*
Contracting Organization Contact Name
*
Full name of the primary contact at the contracting organization in case we have any questions
Implementation Organization Contact Name
*
Full name of the primary contact at the implementation organization
Contracting Organization Contact email
*
Email address for the contracting organization's contact
Implementation Organization Contact Email
*
Contact Phone Number
*
Phone number for the contact
Implementation Organization Contact Phone Number
*
Were you assigned a Computer for QAC/QAK?
*
Yes
No
If you were assigned a computer, have you returned it to the County?
Yes
No
N/A
Have you submitted all your event reports?
*
Yes
No
We need ALL reports complete prior to issuing a final check. If you are unsure, please contact
[email protected]
Event Report Submission
Download Report Template here
If you need to fill out your event reports, please use the template provided below. Please submit report to
[email protected]
What elements below were helpful to you?
*
Regional Training
Regional Workshops
Outreach Toolkit
Social Media
Computer Loans
Newsletter Article Templates
Non-English Language Material
Grants for Community Based Organizations
Printed Material and Swag for Grantees
Website (cococensus.org)
Please elaborate or let us know anything else that was helpful in the Census Outreach /AssistanceProcess
*
What elements need work?
*
Regional Trainings
Regional Workshops
Outreach Toolkit
Social Media
Computer Loans
Newsletter Article Templates
Non-English Language Materials
Grants for Community Based Organizations
Printed Material and Swag for Grantees
Website (cococensus.org)
Please elaborate or let us know about anything else that needs improvement
*
What were some highlights for your organization
We would love to hear about and share some highlights from your Census Outreach and Assistance experience.
Do you have photos or materials you would like to share
Yes
No
Describe the photos or other materials you would be willing to share?
We will contact you if you have some photos or other material that you would like to share with us.
Any other thoughts or comments to share?
Is there anything else that we should know about when evaluating our efforts or planning for Census 2030?
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Email address
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