Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
SC Community Coalition Communication Sign-Up
Welcome to the sign up form for SCC Coalition of community orgs, residents, local businesses, and govt offices.
1)
LIKE and Share the Facebook Page and stay on top of the news
•
https://www.facebook.com/pg/sccoalition/
2)
DONATE IF you can, support the projects by donating
•
To Make Personal Protection Equipment
https://www.selectiva.org/causes/sc-community-crisis-coalition-covid19
•
To support the South Bay Community Food Pantry
https://www.selectiva.org/causes/south-bay-pantry
3)
Volunteer your time and talent if you can
•
Form:
https://tinyurl.com/sccc-volunteer
If you have any questions please contact us at email us at
sccc.coalition@gmail.com
and remember to add the email the contacts list.
* Required
Email
*
Your email
First Name
*
Your answer
Last Name
*
Your answer
Mobile Phone Number
Your answer
Address: # and Street
Your answer
City
Your answer
If you would like to receive Whatsapp Messages for Immediate Updates, please join
https://chat.whatsapp.com/LqVde2i354A2jCbLHtyKfV
Done
Have you liked the Facebook Link
https://www.facebook.com/sccoalition/
Yes
No
Clear selection
OPTIONAL: How do you identify your Race
Your answer
Option al: Tell us your age group
14-17
18+
60+
Clear selection
OPTIONAL Gender
Male
Female
Other
Clear selection
OPTIONAL: Emergency Contact Name, Relationship, Phone Number
Your answer
How can you help if needed:
Promoting the information to your membership
Sharing with your friends
Donate
Volunteer time
Help with online social media communications or digital work
OTHER (enter info in comments)
Other:
Comments
Your answer
How did you hear about this
A friend
A Coalition Org
The Coalition Facebook Page
Other
I agree to subscribing and receiving notifications and Whatsapp messaging group, if I added myself to it. I take responsibility for reviewing the information and deciding for myself to apply it or not. I release the coalition and its partners of any liability or responsibility. (Please add
sccc.coalition@gmail.com
to your email contacts list)
*
Yes I agree
Required
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Forms