NSML Volunteer Intake Form
All information shared is confidential and will only be viewed by volunteer coordinators of Nebraskans for Sensible Marijuana Laws. If you have any further questions or comments, please contact info@nebraskamarijuana.org
Are you a Nebraska resident? *
Are you at least 18 years old or older? *
Are you registered to vote?
Name *
Your answer
Email *
Your answer
Address (please put FULL mailing address)
Your answer
Phone number
Your answer
What county do you live in? *
Are you willing for your contact information to be shared with those in your county so that we may better coordinate petition efforts? *
Have you been trained to circulate petitions? *
Do you have all necessary materials? *
Are you willing and able to go to events in your county to gather signatures? *
Are you willing and able to go door-to-door in your community to gather signatures? *
Do you have access to a form of transportation?
Are you proficient in more than one language? (i.e. Spanish, Arabic, ASL)
Do you want to help but have a disability that would make it difficult or prevent you from doing so? If so, please explain below what we can do to accommodate you.
Your answer
Any additional comments or information that you would like us to know?
Your answer
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