West Rockville Village Connects Aug 19 2022 
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The West Rockville Connects Village seeks to build a welcoming, diverse, and intergenerational network of neighbors to support each member of the community at any stage of life. 
What do you think are important activities of a village? (choose all that apply)
 
If other, please specify
Do you think you would make use of any of the listed activities?
 
Are you interested and willing to volunteer for activities for the village?
 
What section of West Rockville do you live in?
 
If other, please specify nearest intersection
How many people live in your home? (Include yourself)
 
What age groups live in your home? (Circle all that apply)
 
Are you interested and willing to volunteer for any leadership activity?
 
Would you be willing and interested in volunteering for any other activity? Specify:

 
Please provide other comments:
 
Remaining characters: 500
* Contact Information
 
First Name
Last Name
Phone Number
Email Address

Preferred method of contact.

 
Have questions, want to volunteer?
Contact wrcvillage@gmail.com or call 240-314-8807.

Information collected will only be used for Rockville Villages and will not be used for an other purposes.

 

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