Defund Berkeley PD Organizing Interest
This form is meant to help consolidate contact info and connect people who are interested in organizing around longterm defund & reinvest efforts.
What name/pronouns should we have associated with your contact info? *
What email should we use to contact you? We won't use this for anything you don't consent to. *
What phone number should we use to contact you? Optional, but important for some things. Can also be given later over a secure channel.
What affiliations do you have, if any? (organization, school, other connections, etc.) *
What Berkeley city council district do you reside in? (You can use this locator to find your district: https://www.cityofberkeley.info/CouncilDistrictSearch.aspx) *
What is your intent in doing defunding work? *
What are your organizing interests? *
Required
What is your capacity like? In this moment? Looking ahead? *
Are you interested in being added to a listserv for updates and actions? *
Are you interested in future political education sessions? *
Are you interested in being added to our phone tree for phone zaps? *
Anything else you want us to know?
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms