JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
COVID Advocacy NY - Mailing List Sign-Up
COVID Advocacy NY is an a
dvocacy group led by concerned New Yorkers working to improve COVID prevention efforts in New York City and New York State.
By filling out this form, you will be added to our mailing list. We don't send out many emails, but want to be able to stay in touch.
Thank you!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Email
*
Your answer
City, State
*
Your answer
Do you support mandating masks in medical settings, free mask provision, and other COVID-19 prevention efforts?
*
Yes
No
Other
Why do you want to join the COVID Advocacy NY Mailing list?
*
Your answer
How did you hear about COVID Advocacy NY? Do you know people who are involved with the group?
*
Your answer
Volunteering Opportunities
Contact elected officials
Social media
Graphic Design
Media engagement and writing (op-eds, letters to editor, etc)
Assist with policy and public health research
Develop advocacy materials (i.e. advocacy letters, action alerts, etc)
Networking with other organizations
Plan events and community engagement
Update the NYC Mask Guide
Occupation (optional)
Your answer
Skills (optional)
Your answer
Other Comments or Questions
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
