Corvallis SURJ Membership Form

Completing this form registers you as a member of Corvallis SURJ.

Email address *

First Name *

Your answer

Last Name *

Your answer

Phone Number *

Your answer

I understand that it strengthens the group to have consistent participation. Thinking about my energy level and the things I have going on in my life I am hereby committing to be an active, participating member of Corvallis SURJ for the next:

three months

six months

Year

Other:

Please send me information about:

SURJ 1 to 1 – An 8-week educational program that fosters one-to-one peer relationships between a a person who has done some educational/personal work relating to racial justice (Facilitator) and a person who is newer to that work (Learner). Pairs of Learners and Facilitators select topics from a resource list of readings and videos. Free.

SURJ Book Group – Alternates nonfiction and fiction. Meets on third Wednesdays, 7:00-8:30 pm, Unitarian Universalist Fellowship, 2945 NW Circle Blvd, Corvallis.

Base building -- Getting more people involved in the work of SURJ and getting the message of racial justice to our community.

Running the General Meeting -- A group of people who make the 3rd Saturday educational session happen.

What ways do you want to help?

Bookkeeping

Childcare/children’s activities at SURJ events

Computer skills

Co-administer Facebook group – I’m experienced or I’m confident that I could learn

Help send out the Corvallis SURJ Newsletter to the mailing list

Hablo español

Data entry in Excel

Update website (WordPress)

Do a 2-hour shift when SURJ has an information table at a community event/fair

Greet newcomers at SURJ meetings/events

Write letter to the editor or government officials if someone gives me background information

I could buy refreshments for a SURJ meeting or event (reimbursement available) and help set them up

I could participate in occasional SURJ national teleconferences (usually Tuesday at 5:00 pm), take notes, and share them

Graphic design (for example, event flyers)

Poetry

Photos/videos

Help lead a bookgroup

Help with cleanup for an event or events

Phone banking

Door knocking

Other:

If you are part of other local social justice organizations, would you be willing to serve as a liaison from SURJ? Please name the organizations, including your faith community if you wish.

Your answer

Any additional comments?

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Send me a copy of my responses.

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