Action Network

Name of your local group *

Municipality or geographic area where your group is based: *

Please describe the role(s) you play for your local group

If you would like to self-identify as any of the following, please check all that apply: Indigenous (First Nations, Metis, and Inuit) Black Person of Colour LGTBQIA2S+ Person with a disability Newcomer to Canada Person with low income

Are you the first member of your group to fill out this form? * Yes No, someone else from my group has filled this out already.

Do you have any access needs you'd like to share with us in advance?

What are 1-3 goals your group is working toward? *

What kind of support is your group looking for? *

What can your group contribute to the network? *

Local Group Agreement

Join the waitlist