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National Week of Student Action Sign-up Form

Name*
First Last
Email*
Phone*
Can we text this number?*
Are you part of an Amnesty youth or student group?*
School Name*
City*
State*
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Zip Code*
What action is your group planning to take?*
- Tier 1: Week of action with multiple events
- Tier 2: At least one public action to engage your campus
- Tier 3: Commit your group to learning about this issue and taking action
- We’re not sure yet, but we are planning to take action!
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Does your group need materials?*
- Yes
- No
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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