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Niles Township Neighbors for Change: New Member Form
Fill out this form to start the new member on-boarding process. Before filling out this form, we highly suggest that you familiarize yourself with the IPO by-laws to first self-determine if this will be a good fit for you:
https://docs.google.com/document/d/e/2PACX-1vQkfqW0zOaXiI5cIvzf9Y-KdP3xik3PVIQvRYEl9HtXjNg7rR9m3Tmf0G9QHpbANlkD8qVSCcxu6GUu/pub
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First Name
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Your answer
Last Name
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Your answer
Pronouns (ex: she/hers, he/him, they/them, etc.)
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Your answer
How do you racially and/or ethnically identify?
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Your answer
Address
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Your answer
Phone Number
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Your answer
Email address
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Your answer
What issues do you care about most in Niles Township?
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Your answer
How do you want to be involved in the Niles Township IPO?
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Your answer
Do you have any interest in leadership positions within the IPO?
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Yes
No
Maybe
What skills and/or connections can you bring to the group? (e.g. other organizational affiliations, graphic design, video editing, education experience, organizing experience, campaign experience, etc.)
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Your answer
What are your accessibility needs for participation? (e.g. child care or parent-friendly scheduling, captioning or interpretation, etc)
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Your answer
Would you like to schedule a 1:1 chat or a bi-weekly small group "coffee chat" with a current member of the Niles Township IPO about how to plug in?
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1:1
Group chat
No thank you
Required
If yes, do you prefer to have a 1:1 with someone who shares a particular identity?
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Your answer
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