JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
This browser version is no longer supported. Please upgrade to a supported browser.
Dismiss
Section 1 of 1
Form title
Application for Organization Membership to the US Food Sovereignty Alliance
Form description
Please read the new Structure Document in full before submitting a membership application. Submission of the membership application signifies that your organization is in alignment with the vision, the principles, and the goals laid out on the website and is also committed to fulfilling membership responsibilities.
Email*
Valid email
This form is collecting emails.Change settings
Name of Organization
*Question
Name of Organization
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Organization Address
*Question
Organization Address
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Phone
*Question
Phone
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Email
*Question
Email
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Website
*Question
Website
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Facebook Page
*Question
Facebook Page
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Twitter
*Question
Twitter
Question Type
New
Description
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Contact or Representative
*Question
Contact or Representative
Question Type
New
Description
Also include their individual contact information (phone and email) if it is different than the phone and email listed above.
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Additional Contact or Representative
*Question
Additional Contact or Representative
Question Type
New
Description
Also include their individual contact information (phone and email) if it is different than the phone and email listed above.
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
Membership Category - "Grassroots" or "Grassroots Support"
*Question
Membership Category - "Grassroots" or "Grassroots Support"
Question Type
New
Description
Loading image…
Caption
GRASSROOTS ORGANIZATION: Main decision-making body, leadership, and membership are formed by specific social group (e.g. Farmworker, Farmers, African-Americans, Women, etc.)
GRASSROOTS SUPPORT ORGANIZATION: Not a membership-based organization; Main decision-making body, leadership, and staff are largely formed by different social sectors.
Other…
Add option
or
add "Other"
…
(0 points)
Loading...
Your Organization's Structure and Constituency
*Question
Your Organization's Structure and Constituency
Question Type
New
Description
Please indicate whether you are a network, a coalition, a community-based membership organization, an organization made up of professional staff, a Women's organization, a Farmworker organization, etc. Who is your constituency?
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
(0 points)
Loading...
Your Organization's Work
*Question
Your Organization's Work
Question Type
New
Description
Please list 3 issues that your group works on. Does your group have any existing campaigns? If so, please list them.
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
(0 points)
Loading...
Your Organization's Goals
*Question
Your Organization's Goals
Question Type
New
Description
Why is your group interested in joinin ghte US Food Sovereignty Alliance? What do you hope to achieve through participating in the Alliance?
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
(0 points)
Loading...
Your Organization's Networks and Allies
*Question
Your Organization's Networks and Allies
Question Type
New
Description
Who are your strategic partners, at any level, and especially related to food sovereignty?
Loading image…
Caption
Long answer text
Length
Regular expression
Maximum character count
Minimum character count
Number
Custom error text
(0 points)
Loading...
Regional Representation
*Question
Regional Representation
Question Type
New
Description
Which regional team would you participate in? Organizations with an otherwise national scope should participate in the region where their office(s) is/are based.
Loading image…
Caption
Northeast
Southeast
Midwest
Southwest
West/Northwest
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
(0 points)
Loading...
Collectives
*Question
Collectives
Question Type
New
Description
Which area of work would you be interested to participate in?
Loading image…
Caption
Agroecology, Land and Water
International Relations
Narrative Strategy
Political Education
Youith Process
Other…
Other…
Add option
or
add "Other"
…
Select at least
Select at most
Select exactly
Number
Custom error text
(0 points)
Loading...
Would you be interested in being a Spokesperson for the USFSA?
*Question
Would you be interested in being a Spokesperson for the USFSA?
Question Type
New
Description
Loading image…
Caption
Yes
No
Other…
Add option
or
add "Other"
…
(0 points)
Loading...
Additional Comments
*Question
Additional Comments
Question Type
New
Description
Is there anything else you want to share?
Loading image…
Caption
Short answer text
Response validation has been added.
Remove
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Number
and
Number
Custom error text
(0 points)
Loading...
The number of responses collected by this form may exceed the limit supported by Sheets. If you're having trouble viewing your responses in Sheets, try downloading a .CSV instead.
Message for respondents
This form is no longer accepting responses
Summary
Question
Individual
Total points distribution
Loading...
Name of Organization
No responses yet for this question.
Organization Address
No responses yet for this question.
Phone
No responses yet for this question.
Email
No responses yet for this question.
Website
No responses yet for this question.
Facebook Page
No responses yet for this question.
Twitter
No responses yet for this question.
Contact or Representative
No responses yet for this question.
Additional Contact or Representative
No responses yet for this question.
Membership Category - "Grassroots" or "Grassroots Support"
No responses yet for this question.
Your Organization's Structure and Constituency
No responses yet for this question.
Your Organization's Work
No responses yet for this question.
Your Organization's Goals
No responses yet for this question.
Your Organization's Networks and Allies
No responses yet for this question.
Regional Representation
No responses yet for this question.
Collectives
No responses yet for this question.
Would you be interested in being a Spokesperson for the USFSA?
No responses yet for this question.
Additional Comments
No responses yet for this question.
Waiting for responses
of
18
Settings
Release grades
Respondent settings
Global quiz defaults
Default question point value
Point values for every new question
Responses
Manage how responses are collected and protected
Collect email addresses
Required by Locked mode
Required to send response copies
Respondents will manually enter their email responseDo not collect
Verified
Responder input
Send responders a copy of their response
Disabled by Locked mode
Requires Collect email addresses
Off
When requested
Always
Requires sign in
File upload
Total size limit for all uploaded files
This limit is smaller than the max size of a single response.
Responses will not be accepted after the limit is reached. Learn more
1 GB
10 GB
100 GB
1 TB
Presentation
Manage how the form and responses are presented
Form presentation
After submission
Confirmation message
Your membership application has been submitted. Thank you!
Edit
Confirmation message
Your response has been recorded
Save
Cancel
Restrictions:
Defaults
Form defaults
Settings applied to this form and new forms
Collect email addresses by default
Required by Locked mode
Do not collect
Verified
Responder input
Question defaults
Settings applied to all new questions
.