People's Climate Mobilization Partner Survey
Donald Trump’s election is a threat to the future of our planet, the safety of our communities, and the health of our families. That’s why, from now, to the first 100 hours of the Trump Presidency, to the first 100 days and beyond, we are taking action and standing up for everything and everyone we love.

We are mobilizing specifically for 100 hours of action at the beginning of Trump's Presidency, and escalating from there towards a massive march in Washington, DC on April 29th. If you are interested in supporting the effort, please fill out this form.

Note: all participating groups must agree to operate with respect to the Jemez Principles.

What organization do you represent
Your answer
What is your first name
Your answer
What is your last name
Your answer
What is your title/role
Your answer
What is your email
Your answer
What is your phone number
Your answer
What is your organization's scope?
Do you work locally, regionally, or nationally? If locally or regionally, where?
Your answer
What city are you based in?
Your answer
What state?
Your answer
What country?
Your answer
How would you like to support the mobilization?
Can we add your organization to the website?
What's your organization's url?
Please include http:// at the beginning.
Your answer
Is there anything else you'd like to share?
Your answer
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