Request edit access
Responses cannot be edited
Join our movement
Join San Fernando Valley Indivisible in resisting the Trump agenda.
Please indicate which of our Issue Action Teams most interests you — you’re welcome to choose more than one -- so you can help us develop issue-specific actions and participate in team meetings.
Email address
Name
Email
Phone number
Zip code
Issue Action Team ( Please let us know if you would be interested in helping set direction/agenda for one of the following areas)
1st Choice
2nd Choice
3rd Choice
Immigartion
Environment
Healthcare (ACA, FMLA)
Women's Issues (Planned Parenthood)
Elections
Gun Violence Prevention
LGBTQ
Education
Racism (Black Lives Matter
Web Site Support (web builder tool)
Would you like to received the weekly newsletter (via email)?
Please complete the captcha before submitting the form.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms