We've detected that Javascript is not enabled. It is required for an optimal survey taking experience.
Please check your browser's settings and make sure Javascript is turned on. Learn how to enable Javascript.

Skip survey header

UCLA alumni group forming to combat antisemitism on campus

Page One

Are you interested in joining a concerned stakeholders group of UCLA alumni as part of a unified initiative to help combat antisemitism, BDS activities, and the intimidation/harassment of Jewish and pro-Israel students at UCLA?

1. Name: *This question is required.

2. Email: *This question is required. This question requires a valid email address.

3. Do you live in the LA area? *This question is required.

4. Are you a UCLA undergraduate alumnus/alumna? *This question is required.

Year of graduation: This question requires a valid number format.

5. Are you a UCLA graduate or professional school alumnus/alumna? *This question is required.

Year of graduation: This question requires a valid number format.

Field of study:

6. Are you related to UCLA in any of the following ways?

Faculty
Staff
Parent or relative of current or past student
Donor
Other Please enter an 'other' value for this selection.

7. I am interested in: *This question is required.(check all that apply)

Hosting strategy sessions to mobilize UCLA alumni
Attending strategy sessions to mobilize UCLA alumni
Sharing useful contacts with our Alumni Coordinator
Helping to draft letters and/ or petitions
Attending and monitoring antisemitic events at UCLA
Calling UCLA/UC Administration when necessary
Meeting with UCLA/UC Administration when necessary
Other Please enter an 'other' value for this selection.

8. Comments:

Please note, we honor your privacy. Your email address will not be shared with any 3rd parties, and you will receive communication relevant to the purpose of this sign-up sheet.