PCOS Challenge State Legislative Advocacy Volunteer Form
PCOS Challenge: The National Polycystic Ovary Syndrome Association is seeking volunteers to help with our state legislative advocacy efforts. Please complete the form below to request additional information. No previous legislative advocacy experience is required. We will provide you with training, so that you a fully prepared for any meetings or activities.

First Name *
Last Name *
Email Address *
Phone *
Please use format XXX-XXX-XXXX
Address *
Suite/Apartment/Unit
City *
State *
Zip Code *
Do you have any legislative advocacy experience? *
No previous advocacy experience is required. We will provide you with training, so that you a fully prepared for any meetings or activities.
Where is your state's capitol? *
Do you live within driving distance of your state's capitol? *
You can still volunteer if you do not live near your state's capitol.
Would you be willing to meeting with members of your state's legislature? *
No previous advocacy experience is required. We will provide you with training, so that you a fully prepared for any meetings with legislators or their staff.
Comments (Optional)
Privacy Statement
PCOS Challenge, Inc. is committed to keeping your personal information confidential. We respect your privacy and will not sell, share or rent your information to anyone for any reason.


Submit
Never submit passwords through Google Forms.
This form was created inside of PCOS Challenge, Inc.. Report Abuse