“The greatness of a community is most accurately measured by the compassionate actions of its members.”

-Coretta Scott King

Name

First Name

Last Name

Phone

(###)

###

####

Social Media Handles

Instagram, Twitter, etc.

Hometown

City, State, Country

Date of Birth

*Must be 18 years or older

YYYY

Have you ever organized an event for/with a non-profit or other community-based [grassroots] organization?

If so, what are your experiences?

Brief Bio

(Also, describe any objectives you see to achieve with your work and why you would like to become a member.)

In what ways do you hope to expand your understanding and knowledge of the issue[s] you are organizing around?

How do you discover the needs of your community?

Beyond activism and organizing, what are some other things you’re passionate about?

What are some current organizing projects you’re working on?

Why do you want to be a for the love of community... member?

How did you hear about us?

(If referred) Please give the first and last name of the person that referred you.

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