Join Our Campaigns!
Filling out this form is the first step to expanding abortion access and reproductive justice policies in Georgia. After you complete it, a campaign organizer can reach out and get you plugged in.

About our work: Amplify convenes, connects and creates opportunities for Georgia's reproductive health, rights, and justice (RHRJ) supporters to lead campaigns to protect and expand access to safe, affordable, dignified abortion care, and much more. Our campaigns are led by anchor partners plus other collaborators: different groups and communities in Georgia working towards a shared goal.

About our Collaborative: Amplify's anchoring members are Access Reproductive Care - Southeast, Feminist Women's Health Center, HEART, National Asian Pacific American Women's Forum - Georgia chapter, the New Georgia Project, SisterLove Inc., SisterSong Women of Color Reproductive Justice Collective, SPARK RJ Now!, and URGE: Unite for Reproductive & Gender Equity Georgia. In addition to these, we work with numerous additional organizations and allies in the state!

You can learn more about our Georgia Reproductive Justice Agenda and related campaigns at www.amplify-ga.org.
Sign in to Google to save your progress. Learn more
Which Amplify campaign do you plan to get involved in? 
(Q: Why do I have to choose just one? A: We are definitely going to get you involved, and we don't want to overcommit you. If you have enough energy for multiple campaigns, choose one and then talk to your campaign organizer about what increasing your involvement could look like.)
Clear selection
First name *
Last name
*
Your ZIP code *
Your email *
Your phone number (so we can reach out to you directly about getting involved!) *
Are you affiliated with any organization(s)? If so, with whom?
Would you like to be added to Amplify's biweekly newsletter? In this newsletter we provide updates on all of our campaigns and exciting work by our partners.
Clear selection
Do you identify as...?
Anything else you would like to share with us about your interest in getting involved?
Thank you! You should hear from one of our campaign members at the next opportunity to get involved.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of AMPLIFY-GA.

Does this form look suspicious? Report