Civil Rights Privacy and Technology Table Nomination Form
The Table is accepting nominations from current Table members for organizations that work on technology related issues that impact the civil rights community to join us in our efforts to build a more equitable digital world. If you have an organization in mind that you feel would be a good fit for the table, please tell us more below. We will accept nominations for membership until 11:59 p.m. ET on November 3, 2023.

Your responses to these questions can be brief---a sentence or two whenever possible. If you have any questions about this nomination form, please reach out to Anita Banerji at banerji@civilrights.org.
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Your name, pronouns and title at your organization. *
Your email address. *
Your organization/group name. *
Which working group(s) are you involved in? *
Required
Nominee organization/group's name.
 *
If you are recommending an individual person within an organization to join the Table, please share their name, pronouns and title at their organization along with the best way to reach them.
Nominee organization's website.
What is the nominee organization's mission statement? Feel free to copy and paste for this response.
Where is the nominee organization based? *
The nominee organization works at the ___ level. *
Required
Why do you feel this group/organization should be a member of the Table? *
How would participating in the Table align with or support the nominee's work? *
Have you recently worked with this organization? If so, what were the circumstances and outcomes of that work? *
Is there anything else we should know about this organization/group?
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