18MR Member Registration Form

18MR Member Registration Form
Full Name*

First NameLast 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? *
General MemberActive MemberMember Leader (1 year commitment)
NYCPhiladelphiaChicagoBay AreaVirtual
Political EducationCampaignMembershipUnsure
YesNoI 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?
Should be Empty: