La Canada BLM Interest Form

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

Thank you so much for your interest in our movement! Please visit our website or feel free to email us @ lacanadablm@gmail.com if you have any questions. This form is in no way a competitive application, we are simply interested in helping engage local students, residents, and community members in the fight for racial justice. All submissions will be reviewed and contacted!

Name *

Are you a high school student? *

Yes

Other:

If you answered yes to the above question what high school do you attend?

Please select your specific interests as they pertain to joining our movement. *

Protest/Event Team

Research Team

Schools Team

Communications Team

Social Media/Website Team

General Volunteer

I am interested in starting a school club

I am interested in being a team leader

Required

Please briefly describe why you are interested in joining LCBLM and how you would like to get involved in more detail. *

Please provide your best contact information (Phone number, email, social media @, etc...) *

Submit

Clear form

Never submit passwords through Google Forms.

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

Forms