Join Community Civil Activist Today! Name * First Name Last Name Email * Phone * (###) ### #### Pronouns (e.g. he/him, she/her, they/them, ze/zer, etc.) * Languages Spoken English Spanish Other In which age bracket do you fall? * Under 25 26-30 31-40 41-50 51-60 Over 60 How did you hear about CCA? * Do you have previous volunteer experience? * Yes No What does activism mean to you? * Which of the following interest you? * Community Outreach - Event planning Economic Development - Fundraising Justice Reform - Advocacy Youth Engagement - Education Political Engagement - GOTV Marketing - Social Media What level of commitment interests you? * Occasional - typically at larger events or as needed Regular - 1-2 times a month as a committee volunteer I want to attend City and/or County meetings I want to to be as involved as possible! I would like to be a financial supporter What else would you like us to know about you? Is it ok to use photos of you at events on our social media? * Yes No Thank you!We will be in touch with you shortly!
