Order an Activism Kit
To receive an Activism Kit, please fill out the information below, and an SSI staff member will follow up with you directly.
Sign in to Google to save your progress. Learn more
Email *
Name *
Email Address *
Phone Number *
School (No Abbreviations) *
Year in School *
School City/State/Province *
Shipping Address *
Student Group Information (If Applicable)
Briefly describe how you will use these materials. *
How Did You Hear About SSI? *
By clicking "I agree," I agree to: use my activism kit as described in this application; document my activism with pictures and video footage; post photos, stories, earned media hits, and any additional information from your event to social media with the hashtag #SSIonCampus *
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