Research Group Registration Form
We need your help! We are looking for people that are interested in giving us Their opinion about services offered to the public.
Please fill out the form below and you will receive an follow-up email with more details.
General Information
First Name
Last Name
Email
You will receive a follow-up email if you meet our requirements. Please make sure your email is valid. We will never sell or give out your email.
Telephone
City
State
Age
Gender
Female
Male
Education
(select all that apply)
In High School now
Some High School
Graduated High School/GED
In College now
Some College
Graduated College
Which of the following best represents your racial or ethnic heritage? Choose all that apply.
Non-Hispanic White or Euro-American
Black, Afro-Caribbean, or African American
Latino or Hispanic American
East Asian or Asian American
South Asian or Indian American
Middle Eastern or Arab American
Native American or Alaskan Native
Do you have a valid Maricopa County Library card?
Yes
No
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