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2. The Urbandale Fire Department is updating its strategic plan and is seeking interested citizens to be part of the process. We need participation from a broad section of the community (including business owners, seniors, and families) to help us evaluate the department’s strengths, weaknesses, and opportunities. Participants should expect to spend about three hours sharing your thoughts and ideas. If you are interested in joining the review panel, please RSVP below. Your perspective matters and could make a big difference in the success of this project. We'll add your name to a list and reach out to you with more information. Thank you in advance for your contributions! 

4. Name*
6. Email Address:*
8. Choose a category

   We're looking for a broad section of the community to participate. Please check one (or more) of the boxes that most closely identifies you and your perspective as it relates Fire/EMS services.

   1. I live in Urbandale (single resident)
   2. I live in Urbandale with my spouse/partner, but no children (family resident)
   3. I live in Urbandale and have children (family resident)
   4. I am an Urbandale business owner
   5. I work in Urbandale
   6. I don't live in Urbandale
   7. I am retired
   8. I manage/run/work at a non-profit
   9. I consider myself a senior citizen
   10. Other
10. If you selected other, please briefly explain:
12. Select a meeting time that works for you:

    1. Wednesday, December 7, from 9 AM - Noon
    2. Wednesday, December 7, from 6:30 PM - 9:30 PM
    3. None of the above dates/times work for me
14. Anything else you'd like to share:
Leave This Blank:


15. 1. Receive an email copy of this form.
16. Email address

    This field is not part of the form submission.

17. Submit

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