JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Latinx Caucus Membership Form
Formulario para el Comité Latino
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
What is your first and last name?
¿
Cual es nombre y apellido?
*
Your answer
Preferred Language
Lenguage de preferencia
English
Spanish
Other
Clear selection
What are your preferred gender pronouns?
¿Cuáles son tus pronombres de género preferidos?
*
They/Them/Theirs - Elle
She/Her/Hers - Ella
He/Him/His - El
No pronouns, I prefer my name - No pronombres, solo llamenme por mi nombre
Other:
What is your preferred email address?
¿Cual es su correo electronico?
*
Your answer
What is your preferred phone number for text or calls?
¿Cual es su numero de telefono?
*
Your answer
Select which mode of communication you would like to use to receive information about the Latinx Caucus.
Seleccione qué modo de comunicación prefiere
*
Text/Texto
Call/Llamada
Email/Correo electronico
Required
Which Oregon AFSCME Local are you a part of?
¿
A que local sindical pertenese?
Your answer
Who is your current employer?
¿
En donde trabaja?
*
Your answer
Are you currently a union steward?
¿
Eres un delegado sindical?
Yes
No
Clear selection
Are you interested in becoming a union steward?
¿
Le gustaria ser un delegado sindical?
Yes
No
Clear selection
Next
Clear form
Never submit passwords through Google Forms.
This form was created inside of Oregon AFSCME Council 75.
Report Abuse
Forms
