DSA AfroSocialists and Socialists of Color Caucus Intake Form
If you are interested in joining DSA's AfroSocialists and Socialists of Color Caucus, please complete the form below. When entering your email address, please use the address associated with your DSA membership.
* Required
Email address
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Your email
Phone
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Your answer
What is your name?
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Your answer
What is your local chapter? If there is none what city are you in?
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Your answer
Do you self-identify as a person of color?
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Yes
No
Are you a dues paying member?
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Yes
No
When did you join DSA? (approximate month/year)
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Your answer
Does your chapter currently have a local Afrosocialist Caucus?
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Yes
No
I am a dues paying member, but I am not currently a member of a local chapter
I am not a dues paying DSA member
If you answered no to the above question, would you be interested in creating one?
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Yes
No
Maybe
If you attend/attended an HBCU, Tell us which one (If you don't, write no)
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Your answer
If you do attend an HBCU, Do you want to start an AFROSOC chapter at your school?
Yes
No
I don't attend an HBCU
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