Animal Activism Mentorship

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Adresse e-mail *

What is your full name? If applicable, include name you would like to go by in parentheses. (ex. Alexander Smith (Alex)) *

Choose one: *

I am over the age of 18.

I am under the age of 18.

Facebook link *

Instagram handle (if you do not have ANY social media accounts, email penimah.aam@gmail.com to verify your identity) *

What Country, State/Providence, and City do you live in? *

What is the nearest major city? About how many miles or km away from you? (i.e. Atlanta. 20 miles away.) *

Choose all that apply: *

I eat a plant-based diet.

I live a vegan lifestyle.

I am not vegan yet, but I want to be.

I am an animal rights activist.

I want to do whatever I can to help animals.

I want to help animals, but I am nervous about getting active.

Autre :

Obligatoire

Have you ever visited an Animal Sanctuary? If yes, which one/s? *

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