Fill out this form if you are ready to start a new Incite local chapter. Location * This is the city your based in. Tell us why you are interested * Contact name (1) * At least two contact people are required to start a chapter. Contact name (2) * Phone (1) * The best phone number to reach you at. Phone (2) * email * Other Members/Persons Interested in Starting a Chapter/Becoming an Affiliate (at least 3 persons): * Other members that are interested in starting a chapter. The total number of folk must be 3 (which can include the above 2 contact people) Geographic Community & Demographics * Rural Reservation Prison Urban College Campus Suburb How would you describe the community/area your chapter represent/organize with? What are the women & transpeople of color demographics of your community/ what are the major racial/ethnic groups in your community? * You can include: race, economic status, national origin, immigration status, sexual preference, gender identity, and age What are the major issues/forms of violence and oppression women of color and trans people of color experience in your community? * What are the primary challenges/issues in your community? Examples: lack of reproduction education, anti-welfare and immigration policies, lack of affordable housing/no tenant rights policies; limited healthcare access; poor working/labor conditions; increased law enforcement violence; high rates of intimate partner/sexual abuse; high rate of violence against LBGTTSQ communities of color and limited resources, lack of leadership development for youth, etc) What areas/forms of violence your chapter/organization would like to address/ or is addressing: * Reproductive Health & Justice Gender-based Violence Economic Justice Gender/Trans Justice Youth Organizing Law Enforcement Violence Community Accountability Prison Abolition Racial & Gender Health Disparities Immigrant & Refugee Rights Sovereignty & Indigenous Rights War & Militarism HIV/AIDS Organizing Other Please indicate how the INCITE! National Collective could work with your chapter/collective (where possible, specify suggested activities). * Grassroots Fundraising Grassroots Organizing & Base Building Leadership Development Chapter Coordination Membership Development Technical Assistance Collective Building Other CAPTCHAThis question is for testing whether you are a human visitor and to prevent automated spam submissions. Math question * 4 + 14 = Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.