Occupy Portland Student Signup
This form is for students to place their name on a list requesting to Occupy Portland (for school credit). The following information will not be shared with anyone outside of those working with Occupy Portland and the students' schools who are directly facilitating study with Occupy Portland.
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Name: *
What is your full name, as your school knows it?
Contact information:
What is your phone number or email address?
Field of study: *
What is your field of study with your school?
School: *
What college or university are you with?
Program level: *
How far have you taken your studies?
Student ID: *
What is your unique identifier with your school?
Desired involvement: *
How would you like to be involved with Occupy Portland?
Required
Desired involvement explained: *
How would Occupy Portland fit into your studies and practices as a student? (e.g., working with the Media Committee to produce documentation and independent news for Occupy Portland and to work with the Action Committee to create a direct action). List relevant experience to contaxtualize your qualifications.
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