Sample Neighborhood Council Demographics

Sep 27, 2016

submission #2

Information about you

Council member basic information

First Name	---
Last Name	---
Email	---
Mobile phone	---
Mailing address	---
Neighborhood Council	---
Date you joined the Council	---

Demographic information

Demographic Information

Race/ ethnicity	---
Are you Latino/ Hispanic?	---
Gender	---
Do you identify as disabled?	---
Date of birth	---