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Arkansas Braver Angels - Initial Interest Survey
Please fill out this form, if you are interested in getting involved or learning more about Arkansas Braver Angels.
To learn more, contact Glen White (
gwhite@braverangels.org
)
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* Indicates required question
Email
*
Your email
What is your name?
*
Your answer
What is your phone number (if you prefer being contacted by phone)? Leave blank if you'd prefer not giving us your phone number.
Your answer
In what city do you live? (optional question)
Your answer
How did you hear about us?
Your answer
Are you interested in being contacted about possible future Braver Angels workshops or opportunities in Arkansas?
*
Yes
No
Maybe
Are you interested in joining the Braver Angels of Central Arkansas Alliance and/or volunteering at future events sponsored by this alliance? (If you don't live in Central Arkansas, but would be interested in joining another alliance somewhere else, indicate that in "other.")
Yes
No
Other:
Clear selection
If interested, tell us how you would like to become more involved with our group, such as specific interests, your skills, how you might be able and willing to help us with our mission, etc.
Your answer
Joining as an official member of the national Braver Angels organization (
www.braverangels.org
) allows you to receive more information from the national organization and gives you access to additional training and resources, while at the same time enables them to reach a wider audience. The dues are $12/year. Are you a dues-paying member?
Yes
No
Clear selection
We attempt to have equal numbers of "Reds" and "Blues" participating in our organization, especially for leadership and decision-making. For this reason, we ask this optional question. Which of the following descriptions best represent where you stand on the political spectrum currently?
Strongly red (conservative/Republican)
Moderately red
Purple - but more red than blue
Purple - it totally depends on the issue
Purple - but more blue than red
Moderately blue
Strongly blue (liberal/Democratic)
I have no idea.
Other:
Clear selection
Is there anything else you'd like to know about Braver Angels?
Your answer
Is there anything else you'd like us to know about yourself or that you would like to tell us?
Your answer
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