SCI Vaccine Equity Alert
Join our Vaccine Equity Alert email newsletter! We will use this newsletter to spread information on local vaccine opportunities, educational public health messages to share with your social network, and information on SCI’s vaccine education programs.
Iniciar sesión en Google para guardar lo que llevas hecho. Más información
Correo *
Your Name *
Your Zip Code *
In addition to staying on our Vaccine Equity Alert Email list, are you in interested in...
Demographic Information (optional)
A large number of BIPOC (Black, Indigenous, and people of color) residents have borne a disproportionate impact of the pandemic. This project is focusing our outreach efforts on BIPOC residents. The information below will be used in reports to our funders to show our success in reaching these communities.
Are you of Hispanic, Latino, or of Spanish origin?
Borrar selección
How would you describe yourself?
Enviar
Borrar formulario
Nunca envíes contraseñas a través de Formularios de Google.
Este formulario se creó en SCI. Denunciar abuso