I Stand Sign Up Form

A grassroots initiative to raise awareness about the large number of Black students in Nevada living in or
near poverty, and without equity in education. We want ALL children to be proficient and soar like an eagle.

OPERATION
32371

About
Events
Pledge
Contact

NOTE: You will receive email updates on our progress. If you'd like to volunteer and help move this initiative forward please indicate when completing the form below.

I'm taking a STAND for EQUITY in education by supporting this grassroots effort to improve educational outcomes for students least proficient in English & math, regardless of race, gender, or first language. Please add my name/organization in support of Operation 32371 and keep me up to date on their progress via email.

* Indicates required field

Name *

First

Last

Organization *

Please ONLY indicate your organization if you intend to have the affiliation listed on this public website. If you are an organization and want to be included ONLY as such, please indicate so. Thank you.

Choose One *

List Organization ONLY Include My Name Also

Please tell us how you want your organization listed, with or without your name included. By completing this form, you attest that you are authorized to represent the organization identified. Thank you.

Email *

Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Do you live in Clark County, NV? *

Yes No

How did you hear about this site? *

Internet Search Advertisement Friend Clark County Black Caucus Website Other

If Other please specify: *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Prefer not to say

Are you a student at CCSD? *

Yes No Graduated GED Dropped Out

Are you interested in volunteering? Someone will contact you if so. *

We are excited to have students support these efforts, however you cannot volunteer unless a parent/guardian participates with you. Thank you.

I understand I will receive Email Updates/Call to Action *

Yes, thank you I prefer to OPT OUT

Did you remember to sign the online petition? *

Submit

An education initiative sponsored by the Clark County Black Caucus
(Non-Partisan community organization driven 100% by volunteers)
with support from community partners

Contact About