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* 1. What is your first name?

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* 2. What is your last name?

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* 3. What is your age?

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* 4. Please describe your race/ethnicity.

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* 5. Gender Pronoun

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* 6. What is your location? (City, State, Zip)

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* 7. What is your phone number?

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* 8. What is your email address?

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* 9. Social Security Number (we will do a background check to make sure you are not law enforcement or with a political agenda)

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* 10. What is your drivers license or state ID number? Include state and number. (we will do a background check to make sure you are not law enforcement or with a political agenda)

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* 11. Have you ever attended a Black Lives Matter Sacramento event, or participated in some other way? If so, when?

If you only wish to receive updates from BLM Sacramento, stop here, and go to the end of the application to click DONE to submit.

If you're ready to get involved, please complete the application in full.

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* 12. High School name and address

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* 13. High school: From/To

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* 14. Did you graduate?

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* 15. College experience (if applicable)

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* 16. Occupation (if currently employed)

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* 17. Do you have experience with any of the following? (Select all that apply)

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* 18. How do you envision using your skills or talents in the fight for Black Liberation?

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* 19. Do you have experience in community organizing or the movement for Black liberation? Please specify.

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* 20. Social media references ( check all that apply and please provide all applicable profile names, social media names, and/or handles in the other section under the choices)

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* 21. Are you a custodial parent or guardian of minors? If yes, please specify number of children and their ages.

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* 22. In order to fully participate meetings and events, do you need access to child care?

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* 23. If you are currently in school, approximately how many hours a week are you in school on average?

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* 24. If you are currently employed, approximately how many hours a week are you at work on average?

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* 25. Is there anything else you'd like us to know about your availability?

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* 26. Do you have any disabilities that you would like for us to know about in order for you to fully participate in our meetings and events? Please specify.

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* 27. To what extent do you currently envision yourself working within BLM Sacramento? Please specify.

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* 28. Please tell us in your own words what Black liberation means to you. What does a world where Black lives matter look like to you.

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