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2010 Census Partnership Agreement Form
Thank you for becoming an official 2010 Census partner! The U.S.
Census Bureau appreciates your support in ensuring the success of this
monumental effort.
Your support as a 2010 Census partner is important. Here's why:
Every year, more than $300 billion in federal funds are awarded to states and
communities based on census data. That's more than $3 trillion distributed over a
10-year period.
Census data guide local decision-makers in important community planning efforts,
including where to build new roads, hospitals and schools.
Census data affect your voice in Congress. The census determines how many seats each
state will have in the U.S. House of Representatives as well as the redistricting of state
legislatures, county and city councils, and voting districts.
The goal of the Census Bureau's partnership program is to combine the strengths of local
governments, community-based organizations, faith-based organizations, schools, media,
businesses and others, to ensure a complete and accurate 2010 Census. The Census Bureau
will provide promotional materials, regular updates and data assistance to partners to assist
in this effort. Together, through this partnership, we can ensure the 2010 Census message is
delivered to every corner of the nation. Achieving a complete and accurate 2010 Census is
in our hands.
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There are many ways your organization can get involved and support the 2010 Census:
'Pfease check activities in which you are interested in participating.
/Use 2010 Census drop-in articles, messages and
logos in newsletters, mailings, and other in-house
communications (e-mail, Web site, etc.).
/ Appoint a liaison to work with the Census Bureau.
~/ Encourage employees and constituents to
/ complete and mail their questionnaire.
,/ Display and/or distribute 2010 Census promotional
materials.
Identify job candidates and/or distribute and
display recruiting materials.
,~ Provide space to test job applicants.
,/ Provide space to train new employees.
Provide space for Be Counted sites and/or
Questionnaire Assistance Centers.
Provide volunteers for census promotional events.
Put the 2010 Census on the agenda at meetings
and/or allow presentations by Census Bureau staff.
,~ Organize and/or serve as a member on a
Complete Count Committee.
Sponsor community events to promote
participation in the 2010 Census.
/ Allow the Census Bureau to post your
organization's name on the 2010 Census Web site.
~ Link to the 2010 Census Web site from your
or anization's Web site
/Use and distribute educational materials.
Participate in a speakers bureau for the 2010
Census.
Provide a translator and/or translate 2010 Census
materials.
Issue a public endorsement for the 2010 Census
and send an endorsement to members, chapters
or affiliates.
,~ Place 2010 Census articles in your newspapers/
newsletters/magazines. Write census editorials,
and cover census events/programs. Donate space
for census advertisements.
Air 2010 Census PSAs and B-Roll, and cover
census events/programs.
Engage regional and local chapters of your
organization.
Provide speaking opportunities and exhibit space
at conferences or trade shows-
Participate in 2010 Census partnership kick-off
meetings.
/Highlight key 2010 Census operational events in
newsletters or other publications.
L'. Volunteer or participate in Census Bureau-
sponsored events.
Other:
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We would like to acknowledge your organization as a partner for the 2010 Census. Please ~i lIQ1e reSErLtCS
fill out the information below so we can keep you and your organization updated on what's ~{-~,~ ri~{~" -b
happening with the 2010 Census communications campaign, send you updates on relevant !1b-~ allpw pS~
events and activities and provide you with outreach materials. ~' ~~ ~~~ I~~f-{s -~~ Q,~,~ i'e~1
Name:I11 ~ 1 1 ~i'1QEI ~[ZI,L ~~D
Title: U r~ m~l1Y~i Q Qr^
organizati/on--: U t l 14QQ D~ ~~~(~
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-mail: I~'1L'ULL'~~ !°
Signature: ~-
Date: -
Name: Pedro Guilarte
Title: Partnership Specialist
organization: US Census Bureau
Phone: 561-667-7696
E-mail: Pedro.M.Guilarte cans o -
Signa~ure:
Date: >G ~/ ~
Congratulations and thank you again for being an official 2010 Car; _,
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