DC Social Justice Transformation Network Newsletter Signup
First Name
Last Name
Email Address
(Organizational Email Preferred)
Birthday
: MM/DD
Organization
Role
What Communities do you Serve?
(please select all that apply)
District of Columbia
Montgomery County (MD)
Prince George's County (MD)
Fairfax County (VA)
What Communities do you Serve?
(please select all that apply)
All Wards
Ward 1
Ward 2
Ward 3
Ward 4
Ward 5
Ward 6
Ward 7
Ward 8
Please share some of your professional interests with the DCSJTN:
(Ex
ample: areas of potential collaboration, educational interest areas, ideas or opportunities.)
Please share some of your personal interests with the DCSJTN:
(Ex
ample: Baking, Running, Reading, Travel.)
Are you currently participating in a DCSJTN Workgroup?
Please select...
Yes
No
Which workgroup are you currently participating in?
(select all that apply)
Building Relationships
Training Orientation
Intake Network
CEO/Executive Director Group
Communications
Network Action Team
If you would like to participate in a workgroup, which would most interest you?
(select all that apply)
Building Relationships
Training Orientation
Intake Network
CEO/Executive Director Group
Communications
Leadership - Network Action Team
Do you consent
to allow the DCSJTN to share your contact information with network participants, including being listed in the network directory?
Please select...
Yes
No
Contact Information