Request edit access
DC Girls Coalition's Membership Form
Thank you for your interest in  becoming a member of the DC Girls' Coalition. Please read the following information and make sure to pay your membership fee after filling out this form.

https://www.blackswanacademy.org/donate

Membership Description:

-Members of the the Coalition are  youth serving organizations that are interested in working with others in our organizing and advocacy efforts
-Members will have access to our YAB, Open YAB meetings, events and actions
-Members will be able to help select recommendations, develop campaigns, and advocacy efforts
-Members will be able to connect with youth in our network and share the work the organization will be working on

Membership Renewal:

-Renewal for membership will occur every year January- March
-Members who start members during other months will still responsible for renewing during this time but can request a fee waiver if necessary

Membership Due Payment process options:

-After form is completed you can payments to DC Girls’ Coalition with the link below:
https://www.blackswanacademy.org/donate
-Click one time donation
-I am donating to support: DC Girls’ Membership

More Information contact: Kristi Matthews-Jones at kmatthews@blackswanacademy.org

Sign in to Google to save your progress. Learn more
Organization:
Organization Description:
What issues are does your organization work on:
Type of Organization:
Address:
What wards do  your organization serve:
Contact Person:
Pronouns:
Title/Position:
Phone Number:
Email Address:
Secondary Contact person:
Pronouns:
Title/Position:
Phone Number:
Email Address:
Twitter Handle:
Instagram Handle:
Facebook Page:
Website:
Membership Payment Amount:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of The Black Swan Academy.

Does this form look suspicious? Report

Google Forms