Join Kansas High School Democrats

Fill out this form to become a member of KSHSD. If you have any questions contact Chair Lyle Griggs at (785) 766 6398 or Vice-Chair Kenna McNally at (785) 764 4764.

Personal Email Address *

First Name *

Last Name *

Phone Number

Gender *

Male

Female

Nonbinary / ENBY

Other

Which categories best describe you? Check all that may apply. *

Caucasian (for example: German, Irish, English, Polish, etc)

Hispanic, Latinx, or Spanish origin (for example: Mexican/Mexican-American, Puerto Rican, etc)

Asian (for example: Chinese, Indian, Pakistani, etc)

Middle Eastern or North African (for example: Lebanese, Syrian, Moroccan, Iranian, etc)

Black or African American (for example: African American, Jamaican, Nigerian, etc)

Native American or Alaska Native (for example: Navajo Nation, Mayan, Nome Eskimo Community, etc)

Native Hawaiian or Pacific Islander (for example: Native Hawaiian, Samoan, Tongan, etc)

Autre :

Obligatoire

Birthday *

Expected Year of Graduation *

Home Address

City/Town of Residence *

Zipcode *

Middle/High School's name *

Is there a High School Democrats chapter at your school? *

Yes

Would you be interested in founding a High School Democrats chapter at your school? *

There is already a chapter at my school

Yes

Maybe

Do you currently have any specific title within the organization? If so, please be specific. (ex: "Vice-Chair of Central High School Local Chapter" not just "Vice-Chair")

Why are you joining the High School Democrats of America? *

Issues that matter to you *

How did you hear about us?

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