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Cleveland Heights Immigrant Rights Coalition Database
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First Name
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Last Name
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Address
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City
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Zip
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Cell Phone
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Email
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Organizational Affiliation (are you affiliated with any organized entity such as a political org, church, temple, non-profit, immigrant rights org that would be relevant to immigrant rights organizing)
Your answer
How did you learn about us/ initial point of contact?
Your answer
Skill set/ role can offer
Social Media
Data entry
Organizing
Translation
Research and/ or policy
Website Design
Graphic Design
Media/ Communications
Immigrant Outreach
ICE Defense Network
Other:
Race/ Ethnicity (important to track this to have an accurate idea of how diverse our coalition is we are building and adjust accordingly)
Your answer
Age
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15-20
20-30
30-40
40-50
50-60
60-70
70-80
80-90
young children
Language can speak
Spanish
English
French
Arabic
Other:
Additional Notes
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