People behind the People's CDC
Please share as much info as you are willing or references to journalists and experts People's CDC should connect with, work with, and share messaging with.
Sign in to Google to save your progress. Learn more
Email *
Team/Project Interest
Please select your top 2-3 choices (or the group you are already in).
First Name
Last Name
Email
Twitter @
LinkedIn
Phone
Optional
Pronouns
Demographics (OPTIONAL-Select any that align)
We will keep this hidden from the directory. It helps insure we have a diverse and inclusive PCDC team and that we are representative of the U.S. we serve.
What are you interests/ specialties/ background?
Anything else to share?
Do you have quantitative research skills? Connections to media outlets? Do you work with any grassroots organizations who might want to connect with the People's CDC? Let us know your reason for volunteering or what you hope to add to the group.
What is your location? City/State etc.
Are you willing to have your name, face, or business information public facing?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Collective Flow Consulting. Report Abuse