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Indivisible Participation Form
This survey will not be shared outside the leadership team of Indivisible Kent, Hudson and Portage Area Progressive Action. We will keep your information private!
Last name
Your answer
First name
Your answer
Email address (you may not want to use a work email address)
Your answer
Facebook name and URL link (optional)
Your answer
Phone number (optional)
Your answer
What areas interest you?
ACA / Obamacare
Economy
Education
Environment
LGBTQ Rights and Issues
Government Reform
Immigration
Russian Interference in the 2016 election
Women’s Rights
Logistic / Strategy and Leadership
How involved do you want to be?
I can attend events and make phone calls only - I am too busy!
Committee Member – for one or more of the main issues listed above
Leadership, Committee Leader – for one or more of the main issues above
Administration - Overall logistics, planning and coordinating
Not at all - please remove me from the Facebook and Slack groups. I am no longer interested
I have a special skill. How can I help? (Tell us what you want to do—let's talk!)
Your answer
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