VA BLOC - Join the Team!
Please fill out this form to join VA BLOC and others in the Hampton Roads Community who want to make a difference!
We are building empowered communities and we need your help!
Are you registered to vote?
No, I need my rights restored.
Please select your top two (2) concerns in your community:
Crime Prevention/Criminal Justice Reform/Dismantling the Pipeline
Women's Empowerment/Women's Rights/Women's Concerns
Voter Registration, Voter Education, & Voter Mobilization
How did you hear about VA-BLOC?
VA BLOC Team Member
VA BLOC Website
VA BLOC Social Media Pages
Word of Mouth
Never submit passwords through Google Forms.
This form was created inside of New Virginia Majority.
Terms of Service