BMC Tenant Organizing Intake Form
BMC is here to support your organizing and political education needs. To better understand how we can serve you, please complete the following questions. Send questions and comments about this form to Mike at mhiggins@brooklynmovementcenter.org.
Sign in to Google to save your progress. Learn more
What is your first name? *
What is your last name? *
What is your phone number? *
What is your email address? *
What neighborhood do you live in? *
How long have you lived in Central Brooklyn? (Bed Stuy, Crown Heights, Flatbush, East Flatbush) *
Do you have any organizational affiliations? Please share them. *
What is your housing situation? *
How have you dealt with rent since March? *
What was the relationship between you and your landlord before this crisis? *
Have you considered organizing with other tenants and local neighbors to negotiate rent collectively and fight against potential evictions? *
What is your biggest housing concern right now? (Check all that apply) *
Required
What type of organizational support from BMC would you be most interested in? (Check all that apply) *
Required
Do you think your housing problem will require legal support? *
Please provide any details of your situation that aren't described by the questions above. *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Brooklyn Movement Center. Report Abuse
Google Forms