One America Movement Participant Intake Form
Be part of the movement that's calling on all Americans to treat each other with respect. Participate in a One America Movement service project, meal and conversation with people who don't think, live, vote, act, worship or look like you.
Email address *
What is your name? *
Your answer
City *
Your answer
State *
Your answer
Are you affiliated with a community of some kind? *
If yes, please describe that community (i.e. a church, a social club, etc.) If no, just write N/A *
Your answer
What group(s) if any are you interested in engaging with? (i.e. Christians, Republicans, Atheists, African-Americans) *
Your answer
Anything else we should know?
Your answer
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