Name
*
First Name
Last Name
Pronoun
*
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Zip Code
*
Whose land are you on? Please use this resource: https://native-land.ca/ if you need support finding the name of the Indigenous nation(s) land you live on.
*
Are you affiliated with any organizations (i.e. public, non-profit, community-based)? If so, please list them by name.
*
Do you know anyone who is an SA Stands member? If not, how did you hear about our coalition?
*
Would you be representing an organization or joining as an individual? If you'll be representing an organization, please list the name and make sure you are allowed to represent the organization.
*
In a few sentences, tell us why you'd like to be a member of SA Stands?
*
Level of commitment
Core member (active member)
Ally
Please verify that you are human
*
Submit
Should be Empty: