ACTion Interest Form
Join our teen activism group: ACTion (Advocacy Center Teens)

Members of ACTion will:
* Attend monthly meetings and/or collaborate online.
* Learn about upcoming volunteer opportunities. All opportunities are strictly voluntary; you do not have to commit to any specific job to join the group.
* Receive our quarterly Advocacy Center e-newsletter
* Have the opportunity to contribute to our agency e-newsletter and guest blogs for our website.
* Participate in discussions about projects, current events, websites, movies, books, podcasts, etc. related to sexual and relationship violence.
* Plan educational initiatives and/or fundraising events to promote awareness about sexual and relationship violence within their school communities.
* Be invited to our Annual Advocacy Center Celebration, volunteer meetings, and community forums.
* Have the opportunity to act as ACTion ambassadors to their schools, individual school groups/teams, etc.

Your information
Please tell us a little bit about yourself!
First name *
Your answer
Last name *
Your answer
Preferred pronouns
Date of birth *
Email address *
Your answer
What school do you attend? *
What interests you most about being a part of a teen ACTion group with the Advocacy Center?
Your answer
Is there anything else you'd like us to know?
Your answer
Emergency contact
Please provide contact information for a parent or legal guardian we can contact in case of emergency. For our information in case we do need to contact them, will this person be aware that you are participating in ACTion? (Parental/guardian permission is not required for your participation in ACTion. Parental/guardian permission will be legally required for volunteer activities.)
First and last name *
Your answer
Phone number *
Your answer
They will be aware of my participation
Never submit passwords through Google Forms.
This form was created inside of Advocacy Center of Tompkins County. Report Abuse - Terms of Service