Providence Student Union Member Sign up

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Providence Student Union (PSU) builds student power so YOU can have a fair say in improving your education and well-being.

Sign this form to join our member base and to receive updates, opportunities and to join the fight towards a better education system in Providence! And follow @ psu.youth and @pvdstudentunion on Instagram to stay updated on our work. If you want to attend an event, check out our website pvdstudentunion.org/upcoming-events

Benefits of joining PSU

-Power to call actions and create change

-Access to the Well Being Aid Fund

-Scholarship information

-Field trips

-Paid opportunities

-A place to find community

-Celebrated + acknowledged for your efforts

Next member meeting: Friday, September 29th at 3:30 pm, PSU office, 769 Westminster St. PVD

We hope to see you there!

This form automatically enters you into a raffle for a surprise gift card!

Contact: Joselin@pvdstudentunion.org with any questions or concerns

Name/ Nombre *

Pronouns/ Pronombres

Email / Correo Electronico *

Cellphone/ Numero de teléfono *

What's your IG? Follow us @pvdstudentunion & @psu.youth ! / ¿Cuál es tu IG? Síguenos @pvdstudentunion y @psu.youth *

School and Year of Graduation / Escuela y Año de Graduacion *

What's the best way to contact you? / ¿Cuál es la mejor forma de contactarlo?

Text // Texto

Email // Correo Electronico

Clear selection

Preferred Langauge/ Idioma preferido *

English/ Ingles

Spanish/Español

Other:

What do you want to change about your school?/ ¿Qué quireres cambiar sobre tú escuela?

How did you find out about PSU?

If someone recruited you, please write their name under "Other. " / ¿Cómo conociste la PSU?
Si alguien lo reclutó, escriba su nombre en "Otro". *

Friend / Amigo

Social Media/ Medios de comunicación social

Website / Sitio web

Teacher / Maestra

Flyer / Volantes

Walking / Caminando

Other:

Required

Are you interested in stipend opportunities? / ¿Está interesado en oportunidades de estipendios? *

Yes, send me more info! // Si, envíame más información!

No // No

Do you have any food allergies? Do you require an EPI pen or medication? / ¿Tiene alguna alergia alimentaria? ¿Necesita una pluma EPI o un medicamento? *

Yes / Si

No // No

Other:

Optional Questions / Preguntas Opcionales

This section is COMPLETELY OPTIONAL AND CONFIDENTIAL. We only ask these questions for funding purposes. We do not promote the harm and trauma of the gender-binary or racial-ethnic identity.

Esto es COMPLETAMENTE OPCIONAL Y CONFIDENCIAL. *Solo pedimos esto con fines de financiación. No promovemos el daño y el trauma del género binario.

What gender do you identify with? / ¿Con qué género te identificas?

Transgender / Transgénero

Non-binary / No binario

Genderfluid / género fluido

GenderQueer / genderqueer

Agender

2spirit

Woman / Mujer

Man / Hombre

Other:

What race/ethnicity do you identify with? Select all boxes that apply/ ¿Con qué raza/etnia te identificas?

Asian (Example: Chinese, Japanese, Vietnamese, Filipino, Asian Indian, Cambodian, Hmong, Korean, etc)

Black/ African/ African-American (Example: Jamaican, Haitian, Cape Verdean, Nigerian, Ethiopian, Trinidadian, etc.),

Hispanic/Latino/a/x/e (Central or South America, Puerto Rican, Mexican, Dominican, Cuban, or other Spanish culture or origin regardless of race)

Middle Eastern/Northern Africa (Example: Lebanese, Egyptian, Iranian, Iraqi, Moroccan, etc.)

Biracial or Multiracial (Two or more races)

Indigenous American/First Nations (North, Central or South American)

Native Hawaiian/Pacific Islander (Example: Samoan, Chamorro, Tongan, Fijian, Guam, etc.)

White (Example: Any European country, Ireland, France, Italy, Portugal, Spain, England, etc.)

Other:

How old are you? / ¿Cuántos años tienes?

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