Connect with our Movement Building Program
Thank you for expressing interest in SEAC Village and our Movement Building Program. Please fill in the questions below so that we can connect with you! If you have any questions, or need to contact us faster please reach out to info@seacvillage.org
Sign in to Google to save your progress. Learn more
Email *
First Name / Preferred Name
*
Last Name / If comfortable
 *
Pronouns
 *
Phone Number  *
Preferred Email *
Preferred method of contact?  *
Required
Languages Spoken?
*
What are you interested in connecting with us about? Check all that apply.
*
Required
Are you an impacted person in need of support? If so, please describe what needs you may have.
*
If you are in need of support, what skills
or services are you able to provide to others in need if called upon?
*
What experience, if any, do you have in movement spaces? It is okay if you do not, and it is okay to not give full details out of respect for your safety.  This is to just give us a sense of how experienced you are.
*
If you are comfortable sharing, please let us know what other orgs, collectives, community initiatives, or any other movement related groups you have been active with. 
*
Please give us an idea of your understanding of abolition and where you stand politically. 
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Southeast Asian Coalition.

Does this form look suspicious? Report

Google Forms