NORTH TEXAS DREAM TEAM Application for Membership or Affiliation as a Volunteer Applying as: Member ($30 fee) vested with voting rights and membership privileges Volunteer ($0) Your Personal Information – NTDT will use this information to record your membership and issue any official communication, as well as add you to any groups or lists necessary for our online advocacy work. It will remain confidential. 1. Title 2. First Name 3. Middle Name or Initial 6. House number and Street 4. Last Name 7. Apt./Ste. 8. City 13. Phone Number (is this a cell phone? 16. College/University 9. County @ @ 12. E-mail address 17. Degree/major 10. State 11. ZIP fb.com/ 15. Facebook URL ) 14. Twitter handle 18. Enrollment status 5. Suffix 19. Current employment 20. Organizations of which you are a member 21. Emergency contact Information About You as an Organizer/Activist – NTDT would like to build a profile of you as an activist and your role in the organization. W hile the following items are optional, answering them will help NTDT and affiliate organizations with whom we have written understandings to select leadership for certain projects. 22. Your race/ethnicity Latino/a/Hispanic African-American Caucasian/White Native American/Indian Asian or Pacific Islander Other or Prefer not to Answer: 23. Your immigration status U.S. Citizen Permanent Resident Visa DACA Undocumented Not sure No answer 24. Are you interested in any of the following projects? Check any/all that apply. Deportation Defense Program (DDP) Queer Undocumented Immigrant Project (QUIP) Dreamer Educational Empowerment Project (DEEP) Deferred Action for Childhood Arrivals (DACA) Development, Relief, and Education for Alien Minors (DREAM) Act Civic engagement/voter registration Comprehensive Immigration Reform (CIR) Texas HB 1437/SB 1528, Texas In-state Tuition Any project you know of you’d like NTDT to put work towards: 25. What are some things you think you could contribute towards this organization? Check any/all that apply. Helping fundraise for the organization Create press releases/advisories Give interviews on behalf of NTDT Assist in voter registration and Get Out The Vote (GOTV) efforts Find potential donors for the organization Coordinate events and plan logistics Recruit new members and volunteers Give presentations about NTDT Assist in DACA clinics Present at DACA forums Develop trainings and curriculums for organizing trainings Represent NTDT before other organizations or coalitions (requires travel) Help maintain and develop the website and social media outlets (Facebook, Twitter, Instagram, YouTube) Translate documents for the organization 26. In a few sentences, explain what your vision is for NTDT for the following year. 27. What is your level of commitment, on a 1-to-5 scale, to the work NTDT will do? 1 2 3 4 5 I don’t know 27A. (You will answer this question upon renewal of membership. ***DO NOT*** answer this question today) What do you feel was your commitment this year? Use a scale of 1-to-5 (where 1 is “none”, and 5 is “very much”) to answer the statements that follow. 28. Your knowledge of immigration law or proceedings: 29. Your knowledge of the text and qualifications of the DREAM Act: 30. Your knowledge of the concept of “organizing”: 31. Your knowledge of the concept of “activism” or the word “activist”: 32. Your knowledge of parliamentary procedures: 33. Your knowledge of online platforms and how they can be used to organize: Your Commitment to North Texas Dream Team – NTDT relies on its members for the success of the goals the organization sets. The officers and non-officer members alike have made a commitment to each other to be reliable, servant leaders. Our work is not for our personal benefit, nor for the benefit of NTDT, but to our constituency: the undocumented community that we serve. Before signing your name below committing yourself to this work, read the statement below fully: “I, , do hereby understand that I am committing myself to working for the North Texas Dream Team and other organizations with which NTDT may form alliance. The work that I will do for NTDT will often come without a verbal ‘thank you’ and always without paid recompense, but it is my belief in the work of this organization that will drive me to continue to provide for this organization and work towards its mission. By signing my name below, I respectfully apply for membership in NTDT and subscr ibe myself to its mission, this day of , 20 .” X Your signed name Your printed name -------------------------------------- For Office Use Only Required Events: Community Meeting _________________________/___/_____ Officer Acknowledgement (Signature & Date) -------------------------------------- Volunteer Event _________________________/___/_____ Officer Acknowledgement (Signature & Date)
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