Getting connected with The BIPOC Alliance!
We would love to connect with you, and figure out together the best place to plug you in with the BIPOC Alliance! Please fill out the form below so we can learn more about who you are and what you are interested in. We can't wait to build the local movement with you!

Nos encantaría ponernos en contacto contigo y averiguar juntos cuál es el mejor lugar para conectarte con La Alianza BIPOC. Por favor, rellena el siguiente formulario para que podamos saber más sobre quién eres y qué te interesa. Estamos deseando construir el movimiento local contigo!
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What is your email?/ ¿Cuál es tu correo electrónico? *
What is your full name? ¿Cúal es tu nombre completo? *
What are your Pronouns? / ¿Cúales son tus pronombres? *
Do you identify as Black, Indigenous, or a Person of Color (BIPOC)? / ¿Se identifica como negro, indígena o persona de color (BIPOC)? *
Please describe how you identify racially and ethnically. Be as detailed as you like./Describe cómo te identificas racial y étnicamente. Se tan detallado como quieras.
What other aspects of your identity would you like to share with us?/ ¿Qué otros aspectos de tu identidad te gustaría compartir con nosotros?
Where do you live?/ ¿Donde vives? *
Which programs are you interested in learning more about? (check all that apply)
Are you with a local group or organization that is looking to partner? If so, please indicate below./ ¿Perteneces a un grupo u organización local que desea asociarse? Si es así, indícalo a continuación.
What is your phone number?¿Cuál es tu teléfono movil?
Whats the best way to get a hold of you?¿Cuál es la mejor forma de contactarte?
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