participation form

Step 1 — Create Your PEN Name

Choose a PEN Name that will be your anonymous identity on this site.
Please do not use your real name or anyone else’s. This will be your public identity as we create a safe and civil place for dialogue.

Your PEN name should be 3 to 20 characters and may include letters and numbers (examples: SoccerDad, speakout5).

Enter your email address so we can confirm your registration and contact you about participation.

PEN Name

Step 2: Your Contact Information

We ask for your real name and location only to confirm that you are a real person. This information is confidential and will never appear publicly. It will also not be linked to your PEN name and email address. Those two fields are linked so we can communicate with you.

First Name

Last Name

4. Address

City

Zip Code

5. Phone/Mobile

Step 3: How You’d Like to Participate

Choose how you would like to participate in Public Trust Now.
You may select more than one option.
If you select "other" a box will pop up asking
you to specify how you would like to participate.

6. How would you like to participate in Public Trust Now (check all that apply)

Receive email updates

Join Public Trust Partners community

Send the letter to the Mayor and Council for me

Volunteer to work on the website

Volunteer in another way

Other

Step 4 — Your Connection to Santa Clara & Civil Discourse Agreement

Please tell us your connection to the City of Santa Clara.
This information helps us understand who is participating in the site.
If none of the choices apply to you, fill out the "other please specify"
to let us know what brings you to the site.

7. What, if any, is your connection to the City of Santa Clara? (Check all that apply.)

Live in Santa Clara

My place of business is in Santa Clara

I am an SCU student

I am an SCU faculty member

Current City Staff member

Former City Staff member

Current Elected official

Former Elected official

Current Commissioner

Former Commissioner

Current Charter Review Committee

Former Charter Review Committee

I have attended a Santa Clara Council meeting in person or online in the past two years.

I have visited Santa Clara City Hall (for any reason) in the past two years.

Other

8. Civil Discourse Agreement

I agree to participate respectfully and follow the site's Community Standards.

Thank you very much for filling out this form. We will be back to you soon
to confirm your email address and for other follow-up.
Please press "Click to Submit" to send your form.

How would you like to be involved with this site?