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Join BRRN - Intake Form
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Alias
Pronouns
Email
Phone Number
Signal Username / Phone
Street Address
Zone / Area
Legal Name (optional, used only if necessary)
Emergency Contact Details
Groups / Organizing Experience
Work or School (and flexibility)
Why do you want to be involved?
Do you support the abolition of ICE?
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Yes
No
Do you oppose racism, anti-immigrant sentiment, homophobia, and transphobia?
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Yes
No
Skills / Roles You Can Contribute
Languages (spoken, written, fluency)
Do you know anyone already involved? If yes, who?
Can someone vouch for you if needed?
Any concerns, limits, or safety needs?
Do you have a car?
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Yes
No
Are you comfortable giving rides within your area?
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Yes
No
Have you ever been in law enforcement or the military?
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Yes
No
How did you hear about us?
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