Please enable JavaScript in your browser to complete this form.ORGANIZATION NAMEMembership TypeNetwork MembershipAlly MembershipBriefly describe your organization and the services you provide: *Key Contact PersonEmail *Contact Phone NumberPhone Number Type (Check all that apply)MobileAccept Text MessagingLand LineBusinessPersonalSocial Media Presence & Handles (If any)Web AddressInterest, needs, expectation from the Network *Key needs and issues of your community/organization (Check all that apply) *Communication support to talk about Racism and COVID 19 RacismEducation on discrimination & racismAwareness on Racism reportingResources & tools to respond to racismOtherHow will your organization contribute to the work of the Network? *Other RemarksAcknowledgementI acknowledge and support anti-racism strategies and systemic change.Submit Share
