CaribSoCal Community Questionnaire

Caribbeans Of Southern California Database Questionnaire
Our primary focus is to bring together the various generations of Caribbeans in Southern California. Answering this questionnaire will enter you into our database with the expressed desire of creating opportunity, mentorship and edifying all who care to learn more about us and our home! If you have any questions or concerns please feel free to contact us!

CaribSoCalContact@gmail.com
Let us get to know you!

We would like our entire community involved and this helps us understand how you can help achieve the vision.
Name*

First NameLast Name
Nickname (optional)
Your Country of Origin*
Mother's Country of Origin*
Father's Country of Origin*
What Generation Hyphenated American are you? (ex. Guyanese-American)*

You were born abroadFirst Generation (your parent(s) were born abroadSecond Generation (your grandparent(s) were born abroadThird Generation (your great-grandparent(s) were born abroadOther
How often do you go back home, if at all? (Optional)

Twice a yearOnce a yearEvery other yearNo specified timeI have not gone back in a bitOther
What level of education have you attained? (optional)

Trade/ SpecialtySelf-taught/ CertificatesEntrepreneurUndergraduateGraduateDoctorateOther
What is your profession? (optional) This is to help us connect you with individuals in or seeking guidance in your specialty.
Join CaribSoCal
Would you be willing to mentor someone?*

YesNo
In what capacity?
Would you like to be an active member of CaribSoCal?*

YesNo
Would you be willing to donate resources?*

YesNo
Would you be willing to donate time?*

YesNo
If no, would you like to be kept informed of what CaribSoCal has coming up?*

YesNo
How would you like us to communicate with you?*

Phone callText messageE-mail
Email Address*
Phone Number*
Please enter a valid phone number.
Instagram Handle
Supporting our Community
Restaurants
Grocery Stories
Websites
Any other Southern California businesses worth mentioning?
Any thing you would like to share that has not been covered by this questionnaire!
Follow us on Instagram!
Should be Empty:

Caribbeans Of Southern California Database Questionnaire

Let us get to know you!

Join CaribSoCal

Supporting our Community