Request edit access
Nominate a Future Woman Leader!

Have you ever thought about running for office? Do you have a friend or a family member you think should run for office? Do you wonder about the basics of getting a campaign off the ground? Tell us more about yourself or the woman in your life who you think should run for office in NC. We'll help you get the ball rolling. Thank you!
Lillian's List Action Fund
Please tell us your first and last name.
Your answer
What is your phone number?
Your answer
What is your email address?
Your answer
Potential Leader Name (First, Last, MI)
Your answer
Potential Leader Phone Number
Your answer
Potential Leader Email
Personal email only
Your answer
Potential Leader's City, State, Zip
Your answer
Why are you recommending this person for leadership training? (Please limit to 250 words or less)
Your answer
Can we use your name as a reference when contacting this person?
Please email Devon Roberts at devon@lillianslist.org if you have any other questions
Your answer
Submit
Never submit passwords through Google Forms.
This form was created inside of Lillians's List. Report Abuse - Terms of Service - Additional Terms