Organization Contact Request
Do you belong to an academic program wanting to incorporate public interest cybersecurity work? Are you part of a civil society organization looking for security support? While Citizen Clinic supports a small number of organizations each semester, we would like to discuss your needs. Submit this form and we will follow-up with you as soon as possible.
What's your name?
Only answer this if you feel comfortable.
Your answer
What's your organizational affiliation? *
Provide as few details as you feel comfortable. Example: "I work for Citizen Clinic at UC Berkeley."
Your answer
Preferred method of contact? *
If you prefer to stay anonymous for now, we recommend creating a single-use email using We are unable to connect via traditional telephone services. We typically recommend installing Signal ( on your smartphone, however, unless you take additional precautions, you will need to share your phone number with us via this form.
What is your messaging app information?
For example: "Contact me via Signal at 555-123-4567"
Your answer
What is your email address?
Consider enabling second-factor authentication on this account. To learn more about second-factor authentication and why it is important, please read this article:
Your answer
Why are you interested in connecting with Citizen Clinic? *
If you are a civil society organization currently under attack, consider reaching out to for more timely support as Access Now's Digital Security Helpline offers 24/7 services.
Your answer
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