First Name *
Last Name *
Age *
Best contact number? *
Email *
City *
State *
Gender Identity *
Do you consider yourself a person of color? *
Please provide social media handles (ex: facebook, Instagram, Twitter) *
Education *
Working Status *
Do you vote in the United States? *
How would you describe your ideology? *
Are you leaning towards a particular candidate participating in the Brown & Black Forum at this time? *
Are you, or is anyone in your family, directly impacted by U.S. immigration policy? *
Of the five topics listed here, which is the most important to you? *
If there is another topic not listed above that you are interested, please list.
Please submit 1-2 short-answer questions you would like to ask candidates at the forum, about any issue facing communities of color.
Rapid Fire question round, what would you ask the candidates where each candidate could only answer in one to two words?