Request edit access
WHWDO Membership Application
Applicants are not required to give any information that is prohibited by federal, state, or local law.

WHWDO will never sell or share your personal contact information with any elected official, candidate, entity, organization, or individual.

 (Form revised 07/08/2024)
Sign in to Google to save your progress. Learn more
Email *
Today's Date *
MM
/
DD
/
YYYY
First Name *
Last Name *
Middle Initial or Name
Preferred Pronouns (Optional)
Current Mailing Address (Number and Street, City, State, Zip) *
Phone number
Phone number for texting if different from above
Are you a registered Democrat? *
(Check any that apply) I am interested in learning more about:
(Check any that apply) I am interested in these activities with WHWDO:
Please tell us anything you'd like us to know about your political experience, such as: other organizations you belong to; education, work or volunteer experience with political campaigns; specific issues you are concerned about. (This information is optional and will remain confidential.)
Please share any skills, experience, or background that you would like to contribute to the group, such as: social media expertise; political training; computer/office skills; professional skills/work experience (attorney, teacher, accountant, retail, computer, etc.).
(Optional) Are you active on social media?
A $25. donation is our recommended membership fee. Click here to pay online through Act Blue, or see below for mailing information.  ActBlue 2024 Annual Dues Membership fee may be waived under certain circumstances.
Clear selection
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy