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#MEAction Maryland State Chapter Member Interest Form
Thank you for your interest in helping us expand efforts for recognition of ME in Maryland
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* Indicates required question
Email
*
Your email
Name
*
Your answer
County/City
*
Your answer
Maryland Legislative District (voting district, ex. 1A, 8, 47B. find at
mdelect.net
)
*
Your answer
Congressional Representative District (find at
mdelect.net
)
*
1
2
3
4
5
6
7
8
Required
Committee Interests
Advocacy
Education
Community outreach
MillionsMissing / Events
Level of Involvement
*
weekly
monthly
fluctuating
as needed
Possible Committee Chair/Co-chair Interest
Choose
Yes
No
Unsure
How did you find/ hear about us?
*
Facebook Page
Facebook Group
Instagram
Twitter
MEAction website
MEAction Maryland Chapter Postcard (please note where you got the card from in other)
Other:
Social Media Use
*
Facebook
Twitter
Instagram
None
Required
Previous Advocacy Experience
*
Choose
Yes
No
Local Organizations or Group Affiliations
Your answer
Additional Skills/Information that may help the chapter
Your answer
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