Form Center

By signing in or creating an account, some fields will auto-populate with your information and your submitted forms will be saved and accessible to you.

COVID-19 Vaccine Cultural Community Interest Form

  1. Anoka County Public Health is committed to responding to the needs of cultural groups to ensure all community residents have access to critical public health resources (such as the COVID-19 vaccine. Representatives from cultural communities, such as faith-based communities, immigrant/refugee communities, diverse racial/ethnic communities, disability, and LGBTQ+ communities) are invited to share information here to facilitate partnership and timely access to COVID-19 information and vaccination opportunities.
  2. Community Interests
  3. Leave This Blank:

  4. This field is not part of the form submission.