Potential Petition Signature Gathering Affidavit
In light of the COVID-19 Pandemic, we are adjusting our efforts to achieve ballot access this year in Virginia. We need your help to do this! If you are interested in gathering signatures for the GPVA, please complete the following form and affidavit. This will give us valuable information to pressure leaders with, and also to bring this to court if needed. Thank you for your support during these challenging times!

In order to collect petition signatures, you must be 18 years old and be a registered voter in the state of Virginia.
Email address *
What is your name? *
Your answer
Are you willing to sign a legal affidavit stating that you are eligible to petition in Virginia and were it not for the present public health crisis you would be collecting petitions door-to-door and among crowds on behalf of the Green Party of Virginia? *
Would you have gathered petition signatures for the Green Party of Virginia if the coronavirus pandemic were not a factor? *
How many signatures would you have been willing to gather? Please do not exaggerate. An honest and reasonable answer is much more useful for us! *
Your answer
In which Congressional District would you most likely have gathered signatures? If you are unsure, please type your address into the following map: https://whosmy.virginiageneralassembly.gov/index.php/legislator?search= *
Are you already a member of the GPVA? If not, we encourage you to register at our site vagreenparty.org by clicking on "Join Us" *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy