Community Needs Survey

Tooh Haltsooi Council of Naataanii Chapter is in the process of doing and assessment of the community needs. Please understand that this is NOT an application! The intent of this form is to gather information about the needs of the Tooh Haltsooi community.
Current Needs? *
 
Do you have a homesite lease? *
Are you a registered voter? *
List Names and Ages of Household Members
 NameAge
-
-
-
-
-
-
Which of the following applies to you or someone in the house hold? *
Do you currently have electricity connected to your home? *
 
Do you currently have water connected to your home? *
 
Do you currently have a septic tank connected to your home? *
Powered byFormsite