XR UK October Rebellion Government Strategy Team Delegate Form
If you are politically active within XR, e.g., a member of your local group’s political or citizens’ assembly team, and you’d like to be your sites delegate on the GST please fill this out.
Email address *
What is your name? *
Your answer
What pronoun do you identify with? *
Your answer
What site are you with? *
Please use the image bellow as a reference to name your site. You may have to zoom in on it...
Your answer
Have you read the Decision Making System outline? *
Are you part of a political or citizen's assemblies working group within your local group? Please submit the form even if you are not. *
Your answer
Have you considered the Inclusion Statement?
Your answer
Are you willing to be open-minded, listen to others, and respect the facilitator? *
Your answer
Submit
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