October 2020 Application - Elm City-UROC

Or login with:

Home >

October 2020 Application

Thank you for your interest in the Elm City-UROC Undoing Racism™/Community Organizing Workshop October 21-24, 2020. Please complete the following series of questions that will take approximately 5-10 minutes. Are you ready to continue?

Yes

No

First Name

Last Name

Email

Mobile phone (optional)

Send me email updates

Send me text messages

Address (Street, City, State, Postal code)

Do you like this survey?