Democratic Disabilities Caucus Update and Information List
If you are interested in receiving information from the Kansas Democratic Disability Caucus please fill out the form. If you are willing to volunteer for the caucus please let us know in what capacity you would be willing to volunteer. There is also a question of what would you like to see the caucus do? Letting us know that helps us to see how we need to tailor our efforts going forward to make sure that all of the disabled Kansans in the state receive the representation they desperately need.
Sign in to Google to save your progress. Learn more
Email *
Name *
Address *
Phone Number *
Email Address *
Birthdate *
What would you like to see the caucus do?
How are you willing to volunteer? Check all that apply.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy