United Houma Nation Survey
Please answer the following questions. You may leave the name field blank if you would like to remain anonymous, however, you will NOT be eligible for the drawing for JazzFest tickets unless you include your name and phone number. If you wish to be included in the drawing for tickets your survey must be received by 3pm on Saturday, April 26th.
Are you a registered citizen of the United Houma Nation?
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Yes
No
Are you registered to vote in United Houma Nation elections?
*
Yes
No
Do you know who represents your district on the United Houma Nation Tribal Council?
*
Yes
No
Are you actively involved in United Houma Nation tribal activities such as the United Houma Nation Celebration, our annual Powwow, or volunteer activities?
*
Yes
No
OPTIONAL: If you are not actively involved in United Houma Nation tribal activities, what would encourage you to become more involved?
OPTIONAL: Please use this space to provide any other feedback you would like to share.
Name
First Name
Last Name
Contact Information
EMAIL
PHONE
Submit
Should be Empty: