Talking Back Feminist Media Conference Steering Committee Application

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Talking Back Feminist Media Conference Steering Committee Application

If you need support filling out this application, please email us at talkingback@shamelessmag.com and we are happy to work through it together.

Sign in to Google to save your progress. Learn more

* Indicates required question

Name *

Your answer

Email address *

Your answer

Pronouns *

Your answer

Phone *

Your answer

Can we leave a message? *

Yes

No

Are you affiliated with any media, arts or activist organizations, collectives, classes or groups? *

Yes

No

Next

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy