JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
POVERTY SIM at IMPACT Community Action
Event Timing: Thursday, May 25
9--11:30 a.m.
Event Address: 711 Southwood Ave.
Questions? email
communications@impactca.org
Sign in to Google
to save your progress.
Learn more
* Indicates required question
First Name
*
Your answer
Last Name
Your answer
Email
*
Your answer
Best Phone number
Your answer
Organization
Your answer
Which best describes you?
Once you make your selection, someone from IMPACT will be in contact with you within two business days with more information.
All spots are limited, so please respond soon if interested!
*
I, or my group, would like to be a SIM Volunteer(s)
I, or my group, would like to be a SIM Participant(s)
I would like to be a SIM Sponsor
Other:
Required
I understand that this is not a final registration for the May 25 event, but that someone from IMPACT will be contacting me with final details within two business days.
*
Yes
Required
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms