JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020 ACTIONN Pledge Cards
As People of faith and goodwill, our collective moral imagination & courageous empathy guide us toward a people-centered community.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I PLEDGE
to vote in 2020/votar en 2020
to volunteer to support ACTIONN's Civic Engagement work/ser voluntario para ACTIONN
to participate in the 2020 census/para participar en el censo
Name (First & Last)/Nombre
*
Your answer
Address/Dirección
*
Your answer
Phone Number/Número de teléfono
*
Your answer
Congregation/Organization/Affiliation o Congregación / Organización / Afiliación
*
Your answer
Do you want to/Quieres:
be added to our mailing list? para ser agregado a nuestra lista de correo?
receive text updates / recibir actualizaciones de texto
I want to take action on these issues:
*
housing / viviendas
healthcare / servicios médicos
education / educación
immigration / inmigración
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This form was created inside of ACTIONN.
Report Abuse
Forms
