Join Glen Ellyn-VHP! First Name(required) Last Name(required) Email(required) Tel (for texts, if you have one)(required) What type of tel is that?(required) Mobile Home Work. Zipcode(required) Closest intersection to your home. Will your home be negatively impacted by any of the proposed so-called small Wireless Telecommunications Facilities (sWTFs)?(required) Yes No I don't know. Does anyone in your household have disabilities that would be affected by the pulse-modulated microwave radiation from these sWTF antennas? Yes No. Would the affected person be willing to request an accommodation under the federal Americans with Disabilities Act (ADA)? Yes No. Does anyone in your household use an electronic medical device, e.g., hearing aide, pacemaker, e-wheelchair, cpap or other electronic medical device? Yes No. Does anyone in your household have a metal implant? (the implant conducts radiation from wireless infrastructure into the body?) Yes No. Does anyone in your family suffer from Electromagnetic Sensitivity (EMS)? Yes No. Will you volunteer to work with us to achieve sufficient Village of Glen Ellyn regulation of sWTFs in order to preserve the quiet enjoyment of our streets, our property values, our privacy and our public safety? Yes No. Submit