State Gender Policy Collective Interest Form

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

State Gender Policy Collective members will receive access to policy, research, communications, and messaging resources, as well as opportunities to learn from, strategize, and be in community with state policymakers fighting for gender justice in other states.

Email *

Would you like to join the State Gender Policy Collective? *

Yes

Maybe

Name *

Title *

Representative

Senator

Assemblymember

Delegate

Other:

State *

Twitter handle

Additional staff: name & email

Are you interested in or working on any of the issues below?
*

Child care

Economic justice/income security

Education justice

Health care and reproductive rights

LGBTQ+ rights

Workplace justice

Other:

Required

Do you have any questions or immediate resource needs for the NWLC and SiX staff supporting the State Gender Policy Collective?

Submit

Clear form

Never submit passwords through Google Forms.

Forms

This form was created inside of National Women's Law Center.