TAKE JAMES DOWN
Sign in to Google to save your progress. Learn more
Full Name *
Title
Clear selection
Specify the institution you are affiliated it with and the department/program (if applicable, the year as well)
e.g "Undergraduate student at Brown University, U1 - Human Resources" OR "Associate Professor, McGill University. Political Science"
Add clarification if you checked community member/activist
e.g. labour activist, sexual violence prevention worker, BLM activist, etc.
This is what your answers should look like:
Jane John
Associate Professor, Department of Anthropology
Queens University

John Joe
Undergraduate Student, Cultural Studies
Concordia University

Jane John
Community member and activist.
Black Visions Collective, Minneapolis

John Joe,
Community member and activist.
Occupy the Hood, Montreal
Other clarifications or comments
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