Community Outlook Survey

Request for Participation in the Community Outlook Survey

Please complete the following form if you are interested in participating in our brief survey and are a nonprofit service provider to low- and moderate-income (LMI) households in eastern Pennsylvania, southern New Jersey, or Delaware.

Fields marked with an asterisk (*) are required.

Name:*
Title:*
Organization:*
Address:

City:*
State:*
Zip Code:
Phone Number:
E-Mail Address:*

Services you provide LMI households (Please check all that apply):

Education Employment Financial Aid
Food Health and Nutrition Housing

Your geographic focus (Fill in all that apply. List as many items as apply in each box):

Neighborhood(s):
ZIP Code(s):
City(ies):
County(ies):
MSA(s):
State:
Multi-state:
National:

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Contact Us

Federal Reserve Bank of Philadelphia
Community Development Studies and Education Department
Ten Independence Mall
Philadelphia, PA 19106-1574

(215) 574-6458 – phone
(215) 574-2512 – fax
info.communitydevelopment
@phil.frb.org

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