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BGAA Membership Profile Questionnaire
Hello Friends! We are gathering information in order to organize more effectively for this election cycle. Beyond your basic information, there are eleven questions. It should only take you a few minutes to complete this questionnaire.

We are asking for information about your location and activities in order to better target volunteer opportunities and coordinate efforts to avoid duplication. You will have the opportunity to opt into our mailing lists as well.

The information you provide is very valuable to us and will help us fulfill part of our CAVE (Commonwealth Alliance Voter Engagement) grant. Your information will only be used by our organization and will not be sold or given to third parties. Please help by completing the form to the best of your ability.

If you have any questions, please send them to us at info@bluegrassactivistalliance.org.

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First Name *
Last Name *
Email *
Phone number
Street Address
City *
What state do you live in? (Note: If you do not live in the United States, you can select one of the last two options in the list) *
Zip Code *
County *
What is your voting precinct?
What is your Kentucky state Senate district number? You can look up your district number. NOTE: If you are on a phone or other mobile device, you will want to open this link in a new tab to avoid erasing your data already entered in the form. Go to https://apps.legislature.ky.gov/findyourlegislator/findyourlegislator.html, enter your address, and click on the map indicator for your location.
What is your Kentucky state House district number? You can look up your district number. NOTE: If you are on a phone or other mobile device, you will want to open this link in a new tab to avoid erasing your data already entered in the form. Go to https://apps.legislature.ky.gov/findyourlegislator/findyourlegislator.html, enter your address, and click on the map indicator for your location.
May we reach out to you about volunteer opportunities in your area? *
What volunteer activities do you prefer? Please select all that apply.
Are you interested in state, local, or national issues? Please select all that apply.
Have you made a voting plan yet?
Clear selection
If you have made a voting plan, which option are you choosing?
Clear selection
If you are not already on our email list, would you like to receive email from BGAA? *
Required
If we decide to do snail mail communications, would you like to be on our mailing list? If so, please complete the address portion of this form.
Are you already volunteering with political campaigns or other activist organizations? If so, please tell us about them.
Questions or Comments
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