Housing Story — Community Listening Session Registration
Register to share your housing experience and participate in the event.
Your Information
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which city are you from?
*
Detroit
Hamtramck
Highland Park
Other (please specify)
If you selected 'Other', please specify your city:
*
Session Choice
Which session time works best for you?
*
10:00 AM – 12:30 PM
1:00 PM – 3:30 PM
Do you have any accessibility needs?
*
Childcare on-site
Accessible seating / wheelchair access
Transportation assistance
Dietary accommodations
Language interpretation
None
Other (please specify)
If you selected 'Other', please specify your accessibility needs:
Your Story (Encouraged)
Briefly, what’s your housing story or what brought you to this?
Consent & Release
I agree my story can be used in the forthcoming book, installation, and related media produced by Abayomi CDC and All For You Detroit.
*
Yes, I agree
If selected, I agree to be contacted for the forthcoming book, installation, and related media produced by Abayomi CDC and All For You Detroit.
*
Yes, I agree
How would you like your story to be recorded?
*
Photo/video (I’m comfortable being photographed or recorded on video)
Audio only (voice recording is OK, but no photos/video of me)
Written notes only (no recordings or photos)
How do you want to be credited?
*
Use my full name (First & Last Name)
Use only my first name
Keep me anonymous (don’t use my name)
I understand I can review my quotes before publication and withdraw my story at any time.
*
Yes, I understand
I’m an organization leader and would like to attend as a participant.
Yes, I’m attending as a leader/staff member
No, I’m registering as a community member
Prefer not to say
Register
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