JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Action Commitment Pledge
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Topeka United: Action Commitment
I/we commit to doing the following action to promoted diversity and inclusion in the Topeka community.
Tell us your name or the name of your group
*
Your answer
Email
*
Your answer
Choose one from this list below or get creative and help us add to this list of actions and PLEASE share your story, images and/or videos with our Topeka United Facebook page or by email to
pledge@topekaunited.org
after completion.
*
Option 1 invite an acquaintance or stranger of a different demographic to visit and talk about inclusion.
Option 2 Participate in an event that represents a culture or religion that differs from my/our own.
Option 3 Create an event that will allow meaningful interaction with a culture or religion that is new to me/us.
Option 4 You name it - another action that would allow me/us to get to know people I/we may not regularly engage with.
If you picked option 4 please state your action below.
Your answer
Allow Topeka United to use your submissions of stories, images and/or videos on their website and Facebook page. Choose an option below.
*
Yes
No
Allow Topeka United to send you an email reminder about completing your action commitment.
Yes, contact me
No, do not contact me
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
Forms
This form was created inside of Brown v Board Sumner Legacy Trust Inc..
Report Abuse
Terms of Service
Privacy Policy
Help and feedback
Contact form owner
Help Forms improve
Report