JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
East Bayfront Neighborhood Clean Up- Volunteer Registration Form
Join us on May 13th from 11am-1pm for a litter clean up in the East Bayfront neighborhood!
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
Address
*
Your answer
Email
Your answer
What neighborhood are you from?
*
East Ave/Lighthouse St.
Marvintown/E 28th St. and Ash St.
Lakeside
Other:
Please select all of the following that describe you.
Resident
Nieghborhood business
Neighborhood leader
Neighborhood service provider
Love Your Block partner organization
Council member
Commissioner
Mayor
Other:
What year where you born?
Your answer
What is your gender
Man
Woman
Non-Binary
Prefer not to answer
Prefer to self-describe
Clear selection
What is your race and ethnicity? Please select all that apply
American Indian or Alaska Native
Asian
Black or African American
Hispanic, Latino or Spanish
Middle Eastern or North African
Native Hawaiian or Pacific Islander
White
Not listed, would prefer to self-describe
Prefer not to answer
What is the highest level of education you have completed?
Your answer
Do you identify as a veteran?
Yes
No
Prefer not to answer
Clear selection
Do you have a disability or a history of having a disability?
Yes
No
Prefer not to answer
Clear selection
Would you like to be notified of future volunteer opportunities through our email newsletters?
Yes
No
Clear selection
Phone Number
*
Your answer
If you have any questions or comments about this event please leave it below and a member of our team will reach out to you
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
