Phoenix Health, Empowerment, and Rights (HER) Summit Application
Do you want to stand up for the reproductive rights for people around the world? Are you looking to gain the skills and knowledge required to make a true impact on reproductive freedom? Do you want to learn directly from professional organizers on how to make a different on this issue?

This activist summit will mobilize you to develop your community organizing skills to stand up for repro rights. Workshops will include sessions on reproductive rights, grassroots organizing, candidate engagement, get-out-the-vote efforts, and how to effectively #Fight4HER.

When: September 7th, 9:30am-4pm
Location: Phoenix, AZ (Exact location given upon RSVP)
Cost: Free!
Meals: Lunch Provided

Fill out the short application below, and a #Fight4HER fellow will be in touch to confirm your registration. Since applications are reviewed on a rolling basis, we recommend you complete the application at your earliest convenience.
Sign in to Google to save your progress. Learn more
Full Name *
Phone number *
Email address *
Pronouns *
Will you need accommodation for the event? (example: Spanish to English interpretation, ASL interpreter, etc.) *
How did you hear about the Summit? *
Why are you interested in attending the Health, Empowerment, and Rights Summit? *
Why do reproductive rights matter to you? *
Do you have any previous experience with international reproductive rights issues, progressive grassroots activism, and/or lobbying? If not, what interests you about these topics? *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy