Illinois for Bernie Sanders 2020 sign up!
We cannot afford to wait for Bernie's official campaign to reach Illinois before we start organizing.

For those who attended the March 3, 2019 Bernie rally at Navy Pier -- you understand that if we work together to get organized, we can win.

This form was created by the organizers of Illinois for Bernie Sanders (IL4B), the grassroots group founded back in 2015 to promote Bernie's presidential run and to get him on the ballot (now Illinois Progressive Network, or IPN). Your privacy is important, so your information will NOT be shared with anyone outside of IL4B/IPN (unless otherwise noted). Please submit your contact info below, and you will be kept in the loop about local Bernie events, volunteer opportunities and other grassroots happenings. Please also make sure you are signed up via www.berniesanders.com so you receive official campaign emails.

"If we stand together, there is nothing we can't do." –Sen. Bernie Sanders

What is your first/given name? *
Your answer
What is your last/surname? *
Your answer
What is your email address? *
Your answer
What is your phone number (not required, but helpful in case we need to get ahold of you quickly)?
Your answer
Are you currently a college student?
If yes, what college or university do you attend?
Your answer
Are you affiliated with any organizations, groups, unions, etc.? If so, please list them below.
Your answer
Are you a current or former elected office holder? *
If you are currently an office holder, please list the office and your jurisdiction (ward, county, district, etc.) below.
Your answer
Were you involved with Bernie's 2016 presidential campaign? *
If you were involved with Bernie's 2016 presidential campaign, what was your role (check all that apply)?
If you were a Bernie 2016 delegate to the DNC Convention, please specify what type of delegate you were.
Are you an Illinois resident (have you lived here for the last 12 months)? *
If you are an Illinois resident, what congressional district do you live in (you can look up your congressional district here: https://www.elections.il.gov/districtlocator/addressfinder.aspx)?
Your answer
What is your street address?
Your answer
What city do you live in? *
Your answer
If you live in Chicago, what ward do you live in (you can look up your ward # here: https://www.chicago.gov/city/en/depts/mayor/iframe/lookup_ward_and_alderman.html)?
Your answer
What is your ZIP code? *
Your answer
What are you interested in learning more about (check all that apply)? *
Required
Do you officially endorse Bernie Sanders for president (and are willing to share this info with his campaign as well as publicly)? *
Are there any skills you possess that you believe will assist us in this fight for a political revolution? If so, please list below.
Your answer
Anything else you would like to share?
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