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Leadership Conference on Civil Rights and Leadership Conference on Civil Rights Education Fund: over 200 national organizations strong.
Census 2010: It's time. Make yourself count. Click to download a census toolkit
Census 2010
Census 2010 Home
About This Campaign
How the Census Works
Filling Out the Form
Sample Census Form
Getting Help with the Form
Non-Traditional Residences
What's At Stake
How Census Data Affects Your Community
Getting an Accurate Count
Is Your State Hard-to-Count?
The Census & Civil Rights
Educate Your Community
Talking Points (What to Say)
Community Outreach
Getting Media Coverage
What Organizations Can Do
What Individuals Can Do
Resources
Census Timeline
Fundraising Resources
Other Organizations Doing Census Work
Learn More About the Census
 Civilrights.org > Census > The Census Form

Sample Census Form

View the sample English census form below, or download the sample English form (pdf).

Download the sample Bilingual Questionnaire in English and Spanish (pdf)

Images of census form. Download pdf from this page for accessible text.
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