VCC Coalition Member Survey
Thank you for your interest in preparing California voters for the Voter’s Choice Act. Using this brief survey, you can join the Voter’s Choice California coalition or indicate other ways you might want to be involved. Respondents will also be added to our email list where we share updates and materials you can use to prepare your community for the Voter's Choice Act.
Name *
Your answer
Title/Organization *
Your answer
Phone *
Your answer
Email *
Your answer
City and county *
Your answer
Which types of activities appeal to you? I am interested in… (check all that apply) *
Required
Would you like to join VCC's Statewide Coalition and/or Local Hub? *
Required
Are you interested in participating in any of the following working groups related to VCA implementation?
Which civic groups or organizations are you involved in, and in what capacity? (E.g. Rotary Club, League of Women Voters, neighborhood association, religious organization, cultural groups)
Your answer
Describe any leadership position you may hold.
Your answer
Do you have experience working with a language community? If “yes,” which language? (Check all that apply)
Do you speak a language other than English. If “yes,” which language? (Check all that apply)
If you answered “yes” to the previous question, how well do you speak that language?
If you selected more than one language, please indicate here your level of fluency for each.
Your answer
Please explain any experience you may have with the disability community, personally or professionally, if applicable.
Your answer
Can we add your organization's name to our website's coalition page (https://voterschoice.org/who-we-are)? *
Is there anything else you would like for us to know?
Your answer
To receive updates from Voter's Choice California, sign up for our email list at this link: http://eepurl.com/cO0e_X
End of survey. Thank you for participating!
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