UPRISE Membership Form
Thank you for becoming a member of The UPRISE Collective! Please enter your information below so that we can let you know about UPRISE Events, Classes, Member Events, and more!

*The UPRISE Collective will never share your information with any outside entities without your full informed consent.
Email address *
Are you a first time member or updating your membership? *
Name *
Pronouns *
Please list the identities that are important to you. (for example: Native American, Poor, Queer, Disabled, etc.) *
Email *
Phone
Address *
We're required by law to have your address on file. The fun part of this: We'll need this in order to send you our New Member Packet and any member "swag!" Also, it allows us to update you on important initiatives and upcoming events including mailing you the annual membership meeting invitation and ballots for voting. UPRISE will never share your information without your consent.
Your Gifts *
What skills, connections, or knowledge are you bringing to our community that you would like us to know about?
UPRISE Programs *
Are there specific programs that you're particularly interested in supporting? (Select as many as apply to you)
Required
Questions/Comments
If you can provide financially to support the work, please check the option that best fits for you. *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of The UPRISE Collective. Report Abuse