Choose How You Will Help Build a Just Long Island This Year
Our five recent public forums reached over 700 people and spurred a much-needed public conversation about overcoming structural racism and helping our region – and all its residents – achieve their full potential.

Now we invite you to be part of the solution.

Kindly review the actions below and sign up for the actions you want to do.

Contact Information
Please provide your contact information below. We will not share any information without your permission.
First Name *
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone (Optional)
Your answer
Town where you live *
Your answer
Town where you work (optional)
Your answer
Sector of Work and/or area of expertise (optional)
The following 3 sections outline three areas to sign up to take action: Advocacy, Education for Yourself and Community Dialogue. Click "Next" to continue to sign up options.
Next
Never submit passwords through Google Forms.
This form was created inside of Erase Racism Inc.. Report Abuse - Terms of Service