Down Ballot Disruption Participant Sign-Up Form
Fill out this form to sign up as a participant for the Down Ballot Disruption Project. This will involve monthly trainings and weekly coaching sessions to guide you through the process of deep canvassing in your community. After filling out this form, you will be paired with other participants and a member of the Down Ballot Disruption Project will contact you with next steps before June 14th, 2021.
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Name *
Pronouns *
Race and/or Ethnicity (if you are uncomfortable answering this question, you may say "Prefer Not Answer" instead) *
Economic class (if you are uncomfortable answering this question, you may say "Prefer Not Answer" instead) *
City and State of Residence *
Are you a member of a branch from a different organization? What organization? How many people are in your local branch?
Phone Number *
Email Address *
Other Contact Info
This program will take an average of 10-15 hours of work per week. Are you prepared to devote this amount of time to the project? If not, how many hours can you commit per week? *
Deep canvassing is often done for the purpose of changing people's attitudes around critical issues in a community. Before joining the Down Ballot Disruption Project, do you already have topics in mind to deep canvass about? (This is not expected and you will go through the process of creating these goals within the program, but it may be beneficial to have ideas in mind beforehand. Examples include: healthcare, climate change, or advocacy for a certain political candidate).
The Down Ballot Disruption Project is a volunteer led project. However, to make our program more accessible, we are prepared to offer $500 monthly stipends to those who need it. Do you need compensation in order to participate in our deep canvassing program?
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If you know someone else in your area who has filled out this form, what is their name?
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