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

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Contact Information

First Name Last Name

Street Address

Postal Code City State/Province

Email Cell Phone

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(Optional)

Organizing & Mobilization Info

Are you a dues paying member and/or do you consider yourself an active participant of JFREJ? (select all that apply)
Are you a dues paying member and/or do you consider yourself an active participant of JFREJ? (select all that apply) is required.

Yes - I am a dues paying member

Yes - I am an active member

Not sure - can you check?

No, but I'm excited to pay my $5 monthly membership fee (you'll be able to pay for JFREJ membership upon submission)

No, I need to consider JFREJ membership further

Other Other (Optional)

Have you attended 3 JFREJ meetings (of any kind) in the last year?

Yes No Not sure - can you check?

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

Yes No Other Other (Optional)

Neighborhood/City Council District

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

Additional comments, questions or concerns! (Optional)

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