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Are you a person with lived experience of HIV or Hepatitis C?
What is your age?
How would you describe yourself? (Select all that apply.)
Are you of Hispanic, Latino, or Spanish origin?
What is your current gender?

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Get Involved

Getting to zero in Indiana will require partners from across all sectors in all areas of the state to work together. If you are interested in joining our efforts, fill out the contact form below.

Why are we asking these questions?

ZIP Coalitions are responsible for leading regional efforts to end the HIV epidemic and eliminate Hepatitis C in Indiana. ZIP Coalitions understand that to achieve this goal, they must engage diverse partners, especially PWLE. Collecting the information requested below is one way that Coalitions can understand and monitor their progress.

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* Click image to enlarge.

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