Title VI Public Involvement Questionnaire.pdf

The document is a Title VI Public Involvement Questionnaire related to the Civil Rights Act of 1964. It requests voluntary information about race, ethnicity, gender, and disability from participants in public meetings to ensure everyone in affected project areas has a chance to be heard. The completion of the questionnaire is optional and not required by law. Contact information for the Title VI Coordinator is provided for further inquiries. The questionnaire includes sections for project details, date, location of the public meeting, name (optional), gender, ethnic identification categories, race and/or color, national origin, and disability status. Participants are instructed to place the completed form in a designated box on the registration table.