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    All fields marked with an asterisk (*) are required.

    Passwords must be 8 to 16 characters and contain a combination of numbers and letters, with at least one lower case letter and one upper case letter.

    Which neighborhood do you live in? In which ward do you live? Use this map resource to help determine.
    In which ward do you live? Use this map resource to help determine.
    In which decade were born?
    What is your gender?
    Which origin do you closely identify yourself in – Hispanic, Latino or Spanish?
    Maximum characters 255
    How would you best describe yourself?
    Maximum characters 255