Request edit access
DPH-Education Caucus Membership Application Form
* Required
Mission Statement
The Democratic Party of Hawai’i Education Caucus recognizes that education is essential to Democracy and human progress. The caucus is dedicated to the principle that everyone has a right to a public education that spans a full spectrum of services and encourages lifelong learning. The caucus is committed to high quality, equitable, accessible, and affordable educational opportunities for all the people of Hawai’i, especially those historically disadvantaged. The mission of the caucus is to engage Hawaii’s residents in discussions, research, and actions on educational issues in a manner that models democracy and embodies the values of the Democratic Party.
*By submitting this membership application form, I confirm that I have read the mission statement of the Education Caucus and agree to uphold the principles and goals of the caucus.
Last name, First name
*
Your answer
Are you a new or renewing member of this caucus?
*
New
Renewing
Have you already applied to be a member of the Democratic Party of Hawaii?
*
Yes
No
Required
Your contact email:
*
Your answer
Your contact phone number:
*
Your answer
Your home address:
*
Your answer
Please describe your background in the field of education, if any.
Your answer
Please indicate all areas in which you'd be willing to participate. (Check all that apply.)
Attending caucus meetings
Calling or writing to legislators
Testifying before our legislature or Board of Education in support of an issue
Attending rallies or other activities
Other:
Your Congressional District, if known (found on your voter registration notice).
CD 1
CD 2
Clear selection
Your Representative District and Precinct, if known.
Your answer
Your Senatorial District, if known.
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms