Black Lives Matter Sacramento Application
Full Name *
Your answer
Age *
Please describe your race/ethnicity.
Your answer
Gender Pronoun *
What is your location? (City, State, Zip) *
Your answer
What is your phone number? *
Your answer
What is your email address? *
Your answer
Social Security Number (we will do a background check to make sure you are not law enforcement or with a political agenda) *
Your answer
What is your drivers license or state ID number? Include state and number. (we will do a background check to make sure you are not law enforcement or with a political agenda)
Your answer
Have you ever attended a Black Lives Matter Sacramento event, or participated in some other way? If so, when? *
Your answer
College Degree or Trade Experience
Your answer
Occupation (if currently employed)
Your answer
Do you have experience with any of the following? (Select all that apply) *
Required
What is your occupation? *
Your answer
Do you have experience in community organizing? Please specify *
Your answer
Social media references ( check all that apply and please provide all applicable profile names, social media names, and/or handles in the other section under the choices) *
Required
Whats your social media handle (ie. twitter @blmsacramento) *
Your answer
Do you have any disabilities that you would like for us to know about in order for you to fully participate in our meetings and events? Please specify. *
Your answer
To what extent do you currently envision yourself working within BLM Sacramento? Please specify. *
Your answer
Please tell us in your own words what Black liberation means to you. What does a world where Black lives matter look like to you. *
Your answer
Lastly, any skills you want to tell us about that we haven't asked for?
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service