Voices of Beaverton

If you would like to share your housing story, please fill out the form below.

* indicates required field.

Basic Information

Name (or pseudonym):

Age:

Occupation:

Racial / Ethnic Identity:

Do you have a disability?

YesNo

Income and Housing Costs

The following is used to determine your Income Bracket. Neither your income nor your household size will be listed.

Household Income: $

Household Size:

*Rent or Own?

RentOwn

Monthly Rent or Mortgage Payment: $

Your Story

Neighborhood or nearest intersection:

Favorite thing about your neighborhood:

How did you find your housing? Why did you choose it?
Max 500 characters    characters left


What do you like about your housing situation?
Max 500 characters    characters left


What challenges do you face in terms of housing?
Max 500 characters    characters left


What else do you think elected officials, city staff, and/or community members should know?
Max 500 characters    characters left


Is there anything else?
Max 500 characters    characters left


Information in this form may be subject to disclosure under Oregon Public Records Law.
Personal contact information includes home or personal cellular phone numbers, home addresses, and personal email addresses.
Income and housing cost information includes household income, household size, and monthly rent or mortgage.

*Let us know if you would like to keep your personal contact information and income and housing cost information confidential.

I agree to share my housing story. Please protect my personal contact information and housing cost information.
Please protect my personal contact information and housing cost information, and please do not share my housing story.

*Would you like to stay updated on events or developments related to the Voices of Beaverton project?

YesNo

Email address:

Phone: (format: 999-999-9999 or 10-digit number)

*Do you want to email us your photo?

By submitting a photo I authorize the City of Beaverton to use the image to promote or publicize the Voices of Beaverton project. I understand and agree that the publicity that the City publishes or issues for this project may be distributed on the internet and other media and may otherwise be available to the general public.

YesNo