JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Skills & Interests: MA Coalition for Health Equity
We're entirely volunteer-led & look forward to working with you. To learn more, visit https://masscoalitionforhealthequity.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name (required) & Pronouns (optional)
*
Your answer
Email Address
*
Your answer
Phone number (and is texting possible)?
Your answer
City of residence (& state, if not MA)
*
Your answer
What brings you to this work? Anything you'd like to share about your background and skills?
Your answer
How would you like to plug in?
*
Writing: action alerts, op-eds, open letters
Social Media Content
Graphic Design
Direct Action & Creative Organizing
Legislative Advocacy
Website Support
Accessibility & Building Access-Centered Culture
Video/Film/Photography
Press/ Media
Language interpretation & translation
Coalition Building/ Outreach
Administrative upkeep tasks (email list updating, database entry, etc.)
Be a local point person for local legislative or direct action
Other:
Required
When are you most available for zoom meetings (i.e. weekday evenings, etc)?
Your answer
Questions, suggestions, access needs? Thanks!
Your answer
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
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
