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Community Engagement Assessment Tool Request, F-02681A (07/2021)

You are being asked to complete this survey because your organization will be using the Community Engagement Assessment Tool. Please fill in the fields below, and the Title V team will generate a unique Assessment Tool link for your organization to share with community members. Please also enter an email address so that data can be sent to your organization regularly, whenever your link generates new responses.

If you have any questions, please contact Mary Kusch at Mary.Kusch@dhs.wisconsin.gov.

Thank you!
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4. What type of Community Engagement Assessment Tool will you be using? *This question is required.