Virtual Training Interest

Contact Information

Name(Required)
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Address(Required)

Demographic Information

Race/Ethnicity(Required)

Please select the option that best describes your race/ethnicity.
Which of these terms best describes your sexual orientation?(Required)

Which of these terms best describes your gender/gender identity?(Required)

MM slash DD slash YYYY
Political Party(Required)

Which of the following best describes your political views?(Required)

How would you describe your current marital status?(Required)

Are you a primary caretaker for others (e.g. child[ren] or someone who is elderly, ill, or disabled)?(Required)

Campaign Interest

What is your level of campaign interest?(Required)
Please specify type of office (ie: city council, state legislature, congress, etc), district, ward, etc.
When do you plan on running?(Required)

Select "Not Applicable" if you do not plan on running

Thank you! We'll reach out shortly about available opportunities.