Name

Email Address

Phone

Address

City

State

Zip

What is your level of experience working in campaigns? What is your level of experience working in campaigns? I have never participated in a campaign. I have volunteered on a campaign before. I'm a regular campaign volunteer. I have worked as campaign staff. I have managed campaigns.

What is your current relationship to the Green Party? Check all that apply. What is your current relationship to the Green Party? Check all that apply. Registered Green Party. Green Party activist or officer. Green Party affiliated. My state doesn't offer Green Party registration. Registered independent, decline to state or unaffiliated. Registered Democrat. Registered other.

If "other," please describe.

In what type of skills are you most confident and enjoy the most? Check all that apply. In what type of skills are you most confident and enjoy the most? Check all that apply. Ballot access petitioning. Project coordination. Event coordination. Phone banking. Voter contact at the door. Grassroots organizing. Graphic design. Web design or programming. Database or other programming. Media and communications. Data entry and operations support.

If none of the above, please describe your skill.