JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Organizational Endorsements of the Letter to Congress Calling for Introduction & Enactment of the "Resilience for All Act of 2021"
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name of your organization
*
Your answer
Your first and last name (Please write your name very carefully)
*
Your answer
Your email (Please write your email very carefully and Double Check it before moving to the next question)
*
Your answer
Your organization's work or focus (for example: mental health treatment, violence prevention, faith organization)
*
Your answer
Your position or role in the organization
*
Your answer
Your organization's website (Please write the url very carefully and Double Check it before moving to the next question)
*
Your answer
Type of work your organization does (check as many as apply)
*
Mental health
Human services
Disaster response
Education
Faith/Spirituality
Youth support and advocacy
Racial Justice
Climate solutions
Other:
Required
Locations where your organization works
*
In Our Community
Statewide
Regionally
Nationally
Internationally
Other:
Is your organization willing to contact members of Congress, local officials, other organizations, or in other ways help advance the "Resilience for All Act of 2021"?
*
Yes
No
Maybe
Other:
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of TRIG.
Report Abuse
Forms
