New York Attorney General Social Justice Community Partnership Summit Survey

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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is the name of the organization you belong to or work for?

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* 4. What is your email address?

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* 5. Will you need interpretation services during the summit?

Yes

No

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* 6. If you answered yes above, what interpretation services do you need?

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* 7. Please let us know if you have any accessibility needs for the summit.