We are asking the questions below to get a sense of who you are and what brings you to this Fall 2017 YUIR WeekendAnti-racist youth organizing training.
What is your name?
Are you coming to YUIR Weekend as part of a school or organization?
If yes list which one.
Describe yourself in a few words.
What is your mailing address?
What is your email address?
What is the best phone number to reach you at?
Which of these is the best way to reach you?
Social Media (Facebook, Twitter, Instagram)
Can you commit to coming for the whole YUIR Weekend?
If no, please explain.
What is one thing you love to do?
Describe one struggle you have faced in your life.
How old are you?
Under 15 years old
15-19 years old
20-25 years old
26 years or older
What is your gender identity?
What is your racial heritage?
I have a racial heritage that's not listed above
Which of these statements best describes your family's financial status?
We live in poverty/we are the worst off in our community
We live in poverty, but are not the worst off in our community
We are neither wealthy or poor but right in the middle
We are not wealthy, but are better off than most of our community
We are considered wealthy in our community
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service