Memorandum of Agreement (6/2025)
  • Memorandum of Agreement (6/2025)

  • Please select one:*
  • Have you previously signed the Norwalk ACTS MOA?*
  • Format: (000) 000-0000.
  • Select the Norwalk ACTS areas of work that you (signer) are most interested in (check all that apply):*
  • Optional

  • We are collecting racial/ethnic identity information about our individual membership to ensure our initiatives and working groups are representative of the Norwalk community at-large. The information collected will support our north star goal of co-creating solutions with our community and achieving racial equity in Norwalk. We acknowledge that the listed categories do not represent all identities of the community and have provided "other" categories for any information not included. This question is not required to become a member of Norwalk ACTS. Please select the racial category or categories with which you most closely identify with:
    • Engagement with Organizations or Associations 
  • This section is designated for a leader of the organization to complete.

    • Staff Members 
    • Please designate up to three of your staff members to the Norwalk ACTS work areas that align with your organization and commitments. Any designated staff member will receive a copy of this signed MOA via email. Please brief your staff about this MOA process

    • Select the Norwalk ACTS areas of work that Staff 1 is most interested in (check all that apply):*
    • Select the Norwalk ACTS areas of work that Staff 2 is most interested in (check all that apply):*
    • Select the Norwalk ACTS areas of work that Staff 3 is most interested in (check all that apply):*
  • Should be Empty: