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Action Intake Form Input

Please fill out the form below. Your responses do not need to be long, as long as they answer the questions.

If you have any questions, please email action@ruckus.org

* First Name
* Last Name
* Email
* Organization/Group
Web Page
* Phone
Cell Phone
* Street
Street 2
* City
* State
* Zip
* What is your group/organization's mission?
* What campaign or project would this action be for?
* Has your group/organization had any nonviolent direct action training? Please describe.
* Does your group/organization have any nonviolent direct action experience? Please describe.
* Why does this campaign warrant an action now?
* What ideas do you have already for this action?
* How much do you have to spend on this action?
* When does this action need to happen?
* Do you have a media team/plan or would that be part of your needs?
First Name
* Required Field