18MR Member Registration Form
Full Name
*
First Name
Last Name
Pronouns
City
*
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Other Organization Affiliation
Ethnicity
*
Gender
Birthday
Please describe you top 3 issues that you care deeply about
*
Please describe your organizing experience
*
What campaigns are you currently working on?
Why do you want to be an 18MR member?
*
Which layer of membership are you committing to?
*
General Member
Active Member
Member Leader (1 year commitment)
Which chapter are you interested in?
*
NYC
Philadelphia
Chicago
Bay Area
Virtual
Which committee are you interested in?
*
Political Education
Campaign
Membership
Unsure
Would you like to join our discord server?
*
Yes
No
I don't have discord, but I can create one!
What is your signal handle?
*
0/10
Do you have any questions about 18MR or 18MR membership?
Submit
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