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National Organization for Women - New York City: Clinic Escort interest survey
Thank you for your interest! Please fill out this form and we will be back in touch with you by email to let you know of training and volunteer opportunities for clinic escorting.

Due to overwhelming support and interest in our clinic escort program following the 2016 election, our volunteer shifts are currently full for the next few months. If you are interested in volunteering, please fill out the form and you will be added to our volunteer wait list. Please note, at this point in time, our wait list is at least three months long.

For any questions, please email clinicescort@nownyc.org.

Email address
Name:
Your answer
Phone:
Your answer
Why do you want to become a clinic escort?
Your answer
What are your beliefs about abortion?
Your answer
What, if any, background do you have in reproductive rights?
Your answer
Do you speak any languages other than English? If so, what?
Your answer
Please provide two references including their name and contact info (phone and/or email).
Your answer
Please complete the captcha before submitting the form.
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