Young EcoSocialists AZ Sign-Up Form
First Name
Last Name
Phone Number
Email
Address
How did you hear about Young EcoSocialists AZ?
Clear selection
Are you between the ages of 14 and 35?
Clear selection
Are you a registered voter in Arizona, and if so, with what political party?
Clear selection
On a scale of 1 to 5, with 1 being not knowledgeable at all and 5 being very knowledgeable, how much do you know about EcoSocialism and the Global Green Movement?
Not knowledgeable at all
Very knowledgeable
Clear selection
From what you know of EcoSocialism and the Global Green Movement, how would you rate your favorability towards those ideas?
Very Unfavorable
Very Favorable
Clear selection
What are some of the local issues affecting you and your community that you are passionate about? How would you like to see the Young EcoSocialists help?
Which working committees would you be interested in joining ?
Any other special skills or experience that you can bring to the organization?
What times and days of the week are you most available?
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning 8AM -11AM
Mid-Day 11AM - 2PM
Afternoon 3PM - 6PM
Evening 6PM - 9PM
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