Register your NEW JERSEY Census Push Week Event (July 27-August 2, 2020)
If you or your organization are planning a Census Push Week event in New Jersey, please complete the following form to register your event. This will be compiled in a public facing document.

For questions, please email Peter Chen at
Contact Person First Name *
Contact Person Last Name *
Organization Name *
Contact Email Address *
Contact Phone Number *
Event Name (e.g., "Canvassing in East Orange" or "Food Truck Friday at Farmer's Market") *
General Event Description *
What type of event is it? (check all that apply)
Event Date *
Event Start Time *
City/Town *
Street Address (or starting point for canvassing) or Location *
RSVP link, if you have one
Non-English languages you will have support for
Any additional information about your event
Never submit passwords through Google Forms.
This form was created inside of ACNJ. Report Abuse