Signs of Solidarity Report Back Form

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Signs of Solidarity Report Back Form

Please fill out this form to let us know how local businesses responded to your ask. This information is crucial to know how many small businesses across the country are taking action to stand up for immigrants in their communities and to help us continue to successfully grow this campaign. You can fill out this form as many times as needed, so please fill out after each round of canvassing.

Not ? Click here.

Name*

Email address*

What city and state did you canvass in?

How many businesses did you visit?

How many businesses agreed to put up at least one poster?

Total number of "Private Area for Employees" signs businesses agreed to post during this canvass:

Total number of “ICE Is Not Welcome Here” signs businesses agreed to post during this canvass:

Total number of “We Support Immigrant Families” signs businesses agreed to post during this canvass:

What types of businesses posted signs (check all that apply)?

Restaurant Coffee shop/cafe Retail store Gas station Health care office Convenience store Grocery store Gym/fitness center Real estate Education Child care Beauty salon/Barber Other

Is there anything else about your experience that you would like to share?

Finally: If you've gotten 5 businesses to put up signs (congrats!) we can send you higher quality signs to bring to those businesses. Would you like to request a sign package?

Yes No N/A (Fewer than 5 businesses agreed to put up signs)

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