JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
BCPC Interest form
Black Creatives of Pitt County
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Please fill out this form if you are interesting in joining the BCPC team, soon after a member will contact you to welcome you in and to answer questions.
FIRST NAME and LAST NAME
*
Your answer
NICKNAME or NAME YOU PREFER
Your answer
PRONOUNS YOU PREFER
she / her / hers
he / him / his
they / them / theirs
other (feel free to share with us in comments below)
EMAIL ADDRESS
*
Your answer
PHONE #
*
Your answer
SHARE YOUR ART AREA(s): painting, graphic design, poetry, singing, dancing, etc. or simply put Art Ally
*
Your answer
SHARE ANY COMMENTS, QUESTIONS, ART IDEAS, and/or ANY INFO THAT YOU WANT US TO KNOW
Your answer
SHARE YOUR TAGS: list your social media, website, etc.
Your answer
WE ASK FOR YOUR ADDRESS & BIRTHDAY...WE WANT TO CELEBRATE YOU
Full Mailing Address
Your answer
Birthday (MM/DD)
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Pitt County Schools.
Report Abuse
Forms
