1350 Silver Hill Rd. Stone Mountain, GA, 30087-2420 | 770-469-0111
Stone Mountain Seventh-day Adventist Church


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      Diversity Committee Survey

Name:*

Address:

City, St Zip:

Phone:

Email:*

   *Required Fields

Nationality:

Country of Origin:

Languages spoken:

   
1. Popular cultural Foods:
  a. 
  b.
  c.
   
2. How many generations/years has your family lived in the USA? 
   
3. Identify some of your
 
a. Cultural colors
b. Colors of your flag:
c. Traditional attire:
d. Holidays:
4. I am interested in doing a presentaion on my culture/country in the future:
 Yes   No
   
  Additional observations, questions or comments:
 
           or 

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