Request edit access
LSC Intake Form
Email address *
Name *
Your answer
Pronouns *
Required
DSA Local *
If you are not a member of a local chapter, please use "At Large (your location)"
Your answer
18 or older?
If you would like to, please share about your involvement in DSA and your interest in DSA-LSC:
Your answer
What is your Discord username? *
Discord is our primary communication channel and we strongly encourage caucus members to make use of it. For those who aren't familiar with this platform, this link will help you get started: https://www.wikihow.com/Get-Started-with-Discord
Your answer
Can we follow up with you to talk about how you can help with the work of the caucus? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service