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. *
What is your phone number? *
What is your email address? *
Potential Leader Name (First, Last) *
Potential Leader Phone Number
Potential Leader Email *
Personal email only
Potential Leader's City *
Why are you recommending this person for leadership training? (Please limit to 250 words or less)
Can we use your name as a reference when contacting this person? *
Please email Devon Roberts at if you have any other questions
Never submit passwords through Google Forms.
This form was created inside of Lillians's List. Report Abuse