South Side Spotlight Interview

South Side Spotlight Interview

The information you provide in this form will be used to create your public biography for our South Side Spotlight. Please provide information that you are comfortable sharing publicly. If you would prefer not to respond to a specific question, complete it with "n/a".
Your Name *

First Name Last Name
Your E-Mail Address *

Confirmation Email You'll receive a copy of this completed form. We won't share this with the public.
What Do you Do for a Living? *
Tell Us About Your Family and Pets! *
South Side Organization(s) Where You Work/Volunteer *
What is Your Current Role / Title With The Organization(s)? *
Which Neighborhood Do You Currently Call Home? *

Brewery District Ganthers Place Gateway Square German Village Hungarian Village Merion Village Reeb-Hosack Schumacher Place South Central Commons South Franklinton Southern Orchards Stockbridge Vassor Village
Which Neighborhood Do You Currently Call Home?
How Are You Active in the South Side? *
What Are Some Causes or Organizations That Are Important to You and Why? *
What Year Did You Move to Your Current Neighborhood? *
Why Did You Move to Your Neighborhood / the South Side? *
Where Else Have you Lived? *
What's Your Favorite Thing About the South Side? *
If You Could Make One Improvement to the South Side, What Would it Be? *
What Would You Tell Someone Who May Move to the South Side? *
Please Provide a Head-Shot of Yourself (no other people should be in the photo) *

Upload a File
We'll include this photo in our social media posts when we publish your interview. Upload a photo that is at least 800 X 800 pixels. Cancel of
I hereby grant the Merion Village Association permission to use the information and photograph(s) uploaded in this form in any and all of its publications related to the South Side Spotlight, including web-based publications, social media, websites, etc. *

Agree
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