DSA Chapter Interest Form
Thank you for your interest in starting a chapter of Democratic Socialists of America in your area. Please fill out as much information as you can so we can learn more about (1) you, (2) your community, and (3) your vision.

NOTE: There are not "right" and "wrong" answers. These questions are simply intended to help both you and our organizers think through what is the best approach to building a DSA chapter in your area.

If you have any questions regarding the form, leadership opportunities or the DSA chapter process, email: info@dsausa.org

About You
First Name *
Your answer
Middle Initial
Your answer
Last Name *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
Age
Your answer
Street Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
When did you submit your membership dues to DSA? *
Your answer
I am hoping to start a... *
If you answered YDSA to the above question, what school are you affiliated with?
Your answer
About your Community
About your town, city, county or area where you plan to start your chapter.
City, State *
Your answer
What socialist or other explicitly socialist/anti-capitalist organizations exist in your community and are active? Which seem to be the most respected? *
Your answer
What progressive (not socialist) organizations exist in your community and are active? Which seem to be the most respected? *
These could be general social justice organizations or single-issue organizations, such as feminist groups, religious groups, etc.
Your answer
How would you describe your city/community? *
Think about: class and race makeup, layout (urban, suburban, rural), history, dominant political tendencies, etc.
Your answer
About Your Vision
Why are you interested in building a DSA chapter? What do you hope to accomplish? *
Your answer
How would a DSA chapter bring something new to the progressive/left community in your area? *
Your answer
What is your experience (if any) in a leadership role in other organizations? What do you hope to learn? *
Your answer
What do you need from us to get started? *
Some of the things we can offer are: DSA literature & buttons, reading lists, activist how-tos (how to run a meeting, how to plan an event, how to ask someone to join DSA, help with social media, etc). We can send you a list of existing DSA members in your community, though new people you recruit are more likely to become active than people who have been paying dues but are otherwise inactive.
Your answer
About What's Next
After selecting "submit," your answers will be sent to the DSA National Office. After reviewing your answers, someone will reach out to you as soon as possible at the email or phone provided to schedule a short chat. Do not hesitate to reach out if there are any immediate questions or concerns: memberorganizer@dsausa.org
When are you available to chat? *
Pease list three 1-hour timeslots you are available to talk next week.
Your answer
(Optional) How did you hear about this opportunity?
Your answer
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