Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SftP PoC Caucus
If you are interested in participating in the SftP People of Color Caucus, please fill out the following form to be included in all activities and announcements.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Name
*
Your answer
What interests you about the SftP PoC caucus?
*
Your answer
What do you believe are the biggest science-related concerns for communities of color that need to be addressed? Select ONLY 3.
Environmental Racism (including clean air and water)
Climate Change
Food Deserts / Food Security
Environmental Racism (including cl…
Climate Change
Food Deserts / Food Security
Police Violence
Representation in STEM
Biological Determinism
Emergency Preparedness (e.g., natural disasters)
Public Health
Other:
Clear selection
What days and times work for you for a monthly caucus conference call?
Monday mornings
Monday afternoons
Monday evenings
Tuesday mornings
Tuesday afternoons
Tuesday evenings
Wednesday mornings
Wednesday afternoons
Wednesday evenings
Thursday mornings
Thursday afternoons
Thursday evenings
Friday mornings
Friday afternoons
Friday evenings
Saturday mornings
Saturday afternoons
Saturday evenings
Sunday mornings
Sunday afternoons
Sunday evenings
Questions or comments?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report