Kavod Membership Registration 2019
This form is where you sign up for membership. Once you've submitted, you will get instructions for giving your membership donation.
First Name *
Your answer
Last Name *
Your answer
Birth Date *
MM
/
DD
/
YYYY
Phone number *
Your answer
Email address *
Your answer
Street Address *
Include house#, street, apt#
Your answer
City *
Your answer
State *
Your answer
Zip code *
Your answer
Tell us about yourself
Check as many as apply to you in the checkbox questions. All questions are optional.
Racial and ethnic identities
Gender Identity
Gender pronouns (e.g. she, he, they, he/she) or a short description of your gender identity
Your answer
Do you identify as a person with a disability/a disabled person?
Your answer
I grew up... ( See the definitions next to each class option for guidance.)
Occupation
How do you spend your days?
Your answer
Anything else you want to share about yourself or your identities?
Your answer
If you are a new member, tell us how you found your way to Kavod:
For new(ish) members: We will be holding our next "Kavod 101: Connection and Orientiation for Newish Folks" in the evening of Tuesday June 18th, 2019. Are you interested in attending?
Have you completed our Kevutzah survey for Quarter 2 of 2019? If you're not sure, check to see if you have completed it at this link: https://docs.google.com/spreadsheets/d/1vOEUq0fq_3W8ak0qkADwRusFhEpDNotgY7D1BkEt7HA/edit#gid=2057854341 *
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