Member Information Form
Fill out this form whether you are a new or long-standing member. If you wish to volunteer, this form gives you opportunities to tell us what volunteering opportunities best fit it you. (You are NOT required to volunteer to retain membership in this group). Please note: questions with a red star or asterisk beside them are required fields.
Middle Initials or Names
Please include this if you have them. We have lots of people in our group that share the same first and last names, so we need middle names and initials to distinguish between them. But if you really have none, just skip this question and leave it blank.
Cell Phone Number
Provide your cell number as 10 consecutive digits (e.g. 57155512347). Don't add any spaces or symbols (e.g. 571-555-1234 or (571) 555-1234 or 571.555.1234 )
Check ANY or ALL that apply to you. You are NOT required to volunteer for anything ! Before choosing your committee(s) below, feel free to check out
to learn more details about each committee.
Branding, Graphics & Video (e.g. Photoshop, Youtube, making signs)
Coalition Building (e.g. coordinate with progressive non-profits and Indivisible teams)
Congressional Office & Bill Tracking (e.g. familiar with legislative process)
Events & Live Action (e.g. organize office visits, townhalls, protests, marches)
Finance & Fundraising (e.g. likes tracking money)
Member Relations (e.g. direct & personal dialogue with each member to encourage action, welcome & train new members, internal community outreach)
Meeting Logistics (e.g. set up internal and external meetings)
Facebook Programming (e.g. manage and moderate our Facebook group)
PR & Media Relations (e.g. press releases, getting press coverage, overall public messaging)
Social Media (e.g. Facebook, Twitter, Instagram, Youtube)
State Issues (e.g. research focused on Virginia legislation and activities)
Technology & Data (e.g. data geeks, Excel, Google Forms & Sheets)
Website Development & Maintenance (e.g. works on
Professional Skills & Experience
For the volunteering interests you chose, can you provide us any information on your professional skills and experience that may be relevant and helpful? Feel free to link to your LinkedIn profile if you think that's helpful.
If you speak or write any non-English languages with ADVANCED to NATIVE fluency, please let us know which languages. For each language, let us know if speak only, write only or both.
Time Availability for Volunteering
Choose the one option that best fits you.
Regular 1 to 2 hours per week or month
Regular 2 to 5 hours per week
Regular 5 to 10 hours per week
Regular 10 or more hours per week
I have no idea
My time availability fluctuates wildly from week to week
I have no time availability to volunteer
If you're on Facebook and you're joining our Facebook group, please provide the URL to your profile page. If you don't know what it is, go to
to learn how to get it. If this question is too confusing, don't worry about it.
What zip code do you RESIDE or LIVE in?
You are NOT required to be a resident of Arlington VA to join this group.
What zip code do you WORK in?
If you are not employed or you work from home, just use your residency zip code. You are NOT required to work in Arlington VA to join this group.
Please choose any or all issues that matter greatly to you. (This is NOT meant to be an exhaustive list). You do NOT have to choose anything.
CIVIL RIGHTS African Americans
CIVIL RIGHTS Jewish Americans
CIVIL RIGHTS Latino Americans
CIVIL RIGHTS LGBTQ
CIVIL RIGHTS Muslim Americans
CIVIL RIGHTS Women, Abortion & Contraception
ECONOMICS Income Inequality, Financial Deregulation & Trade Wars
ECONOMICS Unions & Minimum Wage
EDUCATION Public Schools
EDUCATION Student Loans
ENVIRONMENT Climate Change & Pollution
GOVERNMENT Gerrymandering & Voting Restrictions
GOVERNMENT Russia (Election Interference, Ties to Trump)
GOVERNMENT Supreme Court
GOVERNMENT Trump Tax Returns, Emoluments Clause & Divestments
GOVERNMENT Underfunding (Hiring Freezes, Budget Cuts, Layoffs)
IMMIGRATION The Undocumented (The Wall, Deportation Forces, Sanctuary Cities)
IMMIGRATION Visas (Green Cards, Refugees, Overseas Students, H1B)
MILITARY Preventing Another War (Boots on the Ground, Iran, China)
PUBLIC SAFETY Gun Control
PUBLIC SAFETY Marijuana Legalization
PUBLIC SAFETY Prison Reform & Police Brutality
SAFETY NET Obamacare, Medicare & Medicaid
SAFETY NET Social Security
SCIENCE Protecting Scientists & Scientific Research
TECHNOLOGY Net Neutrality & Cable Mega Mergers
Weekly Action Form
We have a form at
that we update every Sunday night that provides suggested phone and high impact actions for the week. This form provides contact info and messaging for phone actions. The form works on phones and computers. High impact actions can include marches, rallies, protests, forums, office visits, town halls, canvassing, phonebanking, member meetings and voter registration drives. We report back to the Facebook group every Saturday the total amount of actions we made as a group. Would you be interested in being reminded of when we update this form every Sunday night ?
Yes, notify me by email
NO, DO NOT CONTACT ME ABOUT THIS
High Impact Program
We send out a weekly email of high impact actions you can take this upcoming week. High impact actions can include marches, rallies, protests, forums, office visits, town halls, canvassing, phonebanking, member meetings and voter registration drives.
Yes, notify me by email
NO, DO NOT CONTACT ME ABOUT THIS
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