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2020 Census Complete Count Committee

Please correct the field(s) marked in red below:

 US-Census-2020Logo

Goodyear Complete Count Committee Application

Applicants must live in the city of Goodyear and be at least 18 years of age.


1

Name

 *
2

Address

 *
Address
3
Neighborhood:
 *
4

Daytime Phone

 *
Daytime Phone
5

Email Address

 *
6

Occupation

 *
7

I have been a part of the community since:

 *
8
Why are you interested in serving on the Goodyear Complete Count Committee?
 *
  1. To receive a copy of your submission, please fill out your email address below and submit.