Application: New York Poor People's Campaign People's Assembly, Oct. 16-18, 2020 (Online via Zoom)
* Required
NOTE: Sept. 14 was the deadline to apply and we are no longer accepting applications.
The 3rd NYS PPC People's Assembly will take place online Friday, Oct. 16 - Sunday, Oct. 18. This gathering is for current members and leaders of the NYS Poor People's Campaign and those looking to get more involved!
en español:
https://docs.google.com/forms/d/e/1FAIpQLSfXY1hpSyLrmHRbBCOXOZcp3uzN2jn4MvDFL7EGLRwDYPszgQ/viewform
The Assembly program will include time for political education, story-sharing, community building, skills workshops, and planning the NYS PPC's next steps - as well as a public digital Mass Meeting featuring national co-chairs Rev. Dr. William Barber and Rev. Dr. Liz Theoharis.
We've developed a short application because we have limited space and want to ensure diverse regional and demographic representation. Please apply by September 14! Contact newyork@poorpeoplescampaign.org with any questions.
First Name
*
Your answer
Last Name
*
Your answer
Zip Code
*
Your answer
Email
*
Your answer
Phone Number
*
Your answer
Organizational affiliation(s) outside the Poor People's Campaign (if any)
Your answer
How have you and your community been impacted by systemic racism, poverty, militarism/the war economy, and/or ecological devastation?
Your answer
How have you participated with the Poor People's Campaign: A National Call for Moral Revival? How do you hope to participate in the future?
Your answer
Why do you want to attend the NYS PPC People's Assembly?
Your answer
For our planning purposes, will you need any of the following to fully participate?
Spanish interpretation
ASL interpretation
Closed captioning
Help with Wi-Fi access (e.g. a hotspot)
OPTIONAL QUESTIONS
The below questions will help in creating a gathering that reflects the diversity of our state and our Campaign's values.
Gender Identity
Your answer
Age Range
Under 18
18-35
36-49
50-64
65+
Clear selection
Race/Ethnicity
Your answer
Are you LGBTQIA?
Yes
No
Other:
Clear selection
Any other information you'd like to share?
Your answer
We will confirm that you have been accepted to the People's Assembly by September 18th, and will ask you to complete a registration form at that time. There will be a sliding scale registration fee of $5-$100. Contact newyork@poorpeoplescampaign.org with any questions. Thank you!
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