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Title VI Public Involvement - English

Title VI of the Civil Rights Act of 1964 requires recipients of federal financial assistance to guarantee its programs and activities provide for effective participation by persons who may be impacted by the City’s decisions.

As participants in the public involvement process, we need your help in gathering demographic information. Completing the form will enable us to document whether our public involvement process includes the affected populations. Completing the form is voluntary; you are not required to complete the form to participate in this meeting.

We will handle the information gathered as confidentially as possible. For further information regarding this process, please contact the Title VI Coordinator.

ADVISORY:  Please be advised the City of Kent is required to comply with the Public Records Act Chapter 42.56 RCW. This act establishes a strong state mandate in favor of disclosure of public records.  As such, the information you submit to the City via this form, including personal information, may ultimately be subject to disclosure as a public record.

Please respond to the following questions:

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6.  

Gender

7.  

Disability