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International BLM Protests (Organizers/Leaders Submission Form)
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City + Country Representing
*
Your answer
First + Last Name
*
Your answer
Email
*
Your answer
Your Nationality (optional)
Your answer
Native Language
Your answer
Do you speak/write/understand English?
Yes
No
Other:
Clear selection
Phone Number (Optional)
Your answer
Instagram Handle
Your answer
Twitter Handle
Your answer
Facebook Page
Your answer
Do you have a BLM + Country Group on Facebook or elsewhere? If so, please include the link
Your answer
Are you an official Black Lives Matter Representative?
Yes
No
Other:
Clear selection
Have you been in contact with an official Black Lives Matter Representative?
Yes
No
Other:
Clear selection
Have you already participated in a BLM protest in your country? If so, what date(s)?
Your answer
How many people were you anticipating for your protest?
Your answer
Approximately how many people attended?
Your answer
Are you a spokesperson/lead for your BLM protest in your country?
Yes
No
Not Sure
Other:
Clear selection
Was this your first time organizing a protest?
Yes
No
Clear selection
Are you a member of any social justice or civil society organizations?
Yes
No
Other:
Clear selection
Are you an official representative of your country's government?
Yes
No
Other:
Clear selection
If you organized your protest with a group of individuals, how many people were on the core team?
Your answer
What are things or strategies that worked well in your protest efforts?
Your answer
Did you receive any hostility from the law enforcement in your country?
Yes
No
Not Sure
Other:
Clear selection
To your knowledge, were any protesters arrested?
Yes
No
Not Sure
Other:
Clear selection
To your knowledge, were any protesters missing? Please explain.
Your answer
Does your country require a permit to host protests?
Yes
No
Not Sure
Other:
Clear selection
Have you or others encountered any hostile groups in your efforts? In-person or online? Any pseudo-BLM groups? How did you engage them? Please also list them if you can.
Your answer
What was the presence of these anti-BLM groups like at the protest (to your knowledge)?
None
Minimal/Sparse/Less than Half
Half the Crowd
Majority of the Crowd
Clear selection
Have threats against you or your life been made against you?
Yes
No
Other:
Clear selection
Overall, would you consider your protest to have been peaceful?
Yes
No
Other:
Clear selection
Do you know of any other organizers in other countries or in your region? If so, please share this form with them! Or list their email or social media handles below (ex. twitter: @xxxx)
Your answer
Please share any other questions, comments, or reflection that you have.
Your answer
Please follow us on social media!
Thank you for your work. We stand in solidarity with your courage and effort.
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