Black Civic Engagement Think Tank
Please fill our this form if your interested in your organizations becoming a part of BLOC
Name *
Your answer
Email *
Your answer
Organization *
Your answer
Is your organization BLACK Led?
Does your organization serve Black Communities in NC?
What city is your organization based?
Your answer
What zip codes do you serve?
Your answer
What populations does your organization primary serve? (choose all that apply)
What your organizations primary focus(es)?
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