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Your 2024 Voter Engagement Goals

This form is designed to help you set your 2024 voter engagement goals. 


Once you hit submit, these goals will automatically be emailed to you as a Google Doc. The Google Doc will include space to map out your month-by-month action plan and help you flesh out how you will take your next steps. It will also have links to resources and tools that you can use to advance your goals. 


No worries if you’ve never done something like this before - we are here to help!

Email(s)

Separate multiple emails with commas

Organization Name

Please use your organization's full name, without abbreviations

How many staff does your organization employ?

Please enter a number

How many patients or clients does your organization serve?

Please enter a number

Your 2024 Goals

By the end of 2024, what does success look like for you? Check all that apply.
Your 2024 Goals

Voter Registration Goal

If you hope to help patients or colleagues register to vote, what is your voter registration goal? Please enter a number

Once you hit submit, these goals will automatically be emailed to you as a Google Doc. The Google Doc will include space to map out your month-by-month action plan and help you flesh out how you will take your next steps. It will also have links to resources and tools that you can use to advance your goals.