SEPTA Canvassing Sign-Up Form
Worried about the impending SEPTA service cuts and death spiral?  

5th Square volunteers are out reaching out to riders throughout SEPTA's service area, letting them know about the imminent service cuts to SEPTA, and ways to reach out to their legislators.

Can't volunteer? 
Donate to 5th Square Advocacy's canvassing fund to help cover the cost for printing flyers, postage & transit fare
Sign in to Google to save your progress. Learn more
Email *
Full Name
Phone Number
Available Days & Times
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Sunday
Morning Rush (7:00 AM - 11:00 AM)
Mid-Day (11:00 AM - 3:00 PM)
Evening Rush (3:00 PM - 7:00 PM)
Comfort Level with Public Speaking
Not Comfortable
Very Comfortable
Clear selection
Are you comfortable leading a canvassing session?
Clear selection
Preferred Location (check all that apply)
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms