JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Sign up to learn more about USPCN and to join or become a friend of a California chapter
* Indicates required question
Email
*
Your email
Last Name, First Name
*
Your answer
Region
*
Choose
Norcal
SoCal
Central
Cell Phone:
*
Your answer
Email:
*
Your answer
Are you interested in any of these areas of organizing and community building? Check all that apply
*
Campaign for Liberation and Dignity
Political Prisoners Campaign
Community Building and Cultural Preservation
Solidarity Work with Communities of Color
#SaveSheikhJarrah Campaign
Ethnic Studies Campaign
Legislative Advocacy
Unsure/None
Other:
Required
Please check all that apply
*
I would like to join your email list
I would like to join an info-session or have a conversation to learn more
I am seeking a community network to socialize, feel supported, and be connnected
Required
Do you have any questions we can follow up with you on?
Your answer
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of USPCN.
Report Abuse
Forms
