Please fill out this form to indicate your interest in joining the PWC Caucus at JFREJ!

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Contact Information

First Name Last Name

Street Address

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Organizing & Mobilization Info

Have you attended 3 JFREJ meetings (1 with the caucus, 1 with the larger JFREJ community, and 1 of your choice) in the last year?

Yes No Not sure - can you check?

Have you had a one to one meeting with a PWC Caucus member in the last year?

Yes No Other

Neighborhood/City Council District

What are you most excited for in joining the caucus? (Optional)

Additional comments, questions or concerns! (Optional)