JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
2020 SURJ NYC CC Interest Form
Please complete this form to indicate your interest in becoming a member of the SURJ NYC Coordinating Committee
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Phone number
Your answer
Who are you? (e.g. age, neighborhood you live in, class background, any identities you'd like to share)
Your answer
Describe your current work in SURJ (what you do, how long you've been involved, etc)
Your answer
How do you currently spend your time? Paid work? Caregiving work? Describe your schedule
Your answer
What organizing skills are strengths of yours? What skills do you want to strengthen ?
Your answer
Based on whatever you know (or questions you have) about the CC, what interests you about being on it?
Your answer
What do you think SURJ NYC could be doing better? What do you think it's doing well?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report