1 Start 2 Complete Contact 1 First Name * Last Name * Preferred Communication Method(s) Phone Email Postal Mail SMS Street Address City * Postal Code State/Province Phone Number Phone Number 2 Email * Communication Details General Email List Yes Best time to Contact Morning Afternoon Evening Demographics Gender Pronoun (ex: She, He, They; Hers, His, Them) Grassroots Info Volunteer Interests * Phone Banking & Door Knocking Tutoring Fundraising Special Events Translation Service Hours for School Other Campaign Involvement Invest in Youth Keep Families Together Reproductive Justice Civic Engagement & Voting Voter Info Voter History * Always Often Never or Not Often New- Just registered/ pre- registered I still need to register to vote I need to pre- regiester to vote (I am atleast 16 years old) I am not eligible to vote Submit
