National Assembly Delegate interest form
We have a limited number of delegates to the convention. Please fill out the form below so we can better understand who will help us round out our team.
Email address *
Name *
Phone Number *
Have you participated in the work of the CT Puerto Rican Agenda in the past? If yes, please explain *
Why would you make a good delegate to the National Assembly? *
What would you like to see The Agenda do in 2018-2020? *
Can you help with Transportation?(Give rides or chip in $ for gas) *
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