Name
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First Name
Last Name
Email
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Where did you hear about our learning circle?
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Faceboook / Social Media
Public Banking Institute
WILPF
AEOO
Word of Mouth
Other
How do you currently bank?
How would you rate yourself on your knowledge about banking in general?
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Are you aware of any public banking advocacy initiatives in your area?
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Yes
No
If yes, can you share who they are and if you're in touch with them?
What other advocacy groups, if any, have you worked with in the past or do you belong to now? (ie., unions, environmental groups, peace groups, economic justice groups, neighborhood associations, church social justice committees, etc.)
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Is there an issue you've personally advocated for with elected officials?
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If yes, what was it? Were you in contact at local, state, federal level or other?
If you are taking this class with friends or colleagues, please list their names here.
Why do you want to learn about public banking now?
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What do you most hope to gain from a women’s learning circle?
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