Vot-ER Custom Materials

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Thank you for your interest in ordering Vot-ER materials for your institution or team! Upon filling out this form, you'll receive a custom, digital suite of resources designed to help you integrate voter registration into your daily practice. These digital resources are free of charge.

Step 1 of 3: Basic Information

First Name

Last Name

Email Address

Phone Number

Untitled checkboxes field

Text me with occasional updates about my Vot-ER badge and local elections.

By checking this box, you agree to receive mobile messages from Vot-ER. Message and data rates may apply. You may reply STOP at any time to unsubscribe. Our terms and privacy policies can be found at vot-er.org

Your Occupation

Organization Name

What group, team, department, etc. are you ordering for?

What state is your organization in?

The majority of my patients are (select all that apply):

24 years old or younger.

Medicaid/CHIP eligible or do not have health insurance.

Self-identified as Black/African American and/or Hispanic/Latino.

Best served in a language other than English.

None of the above apply

My institution views itself as a space that is designed to serve (select all that apply):

LGBTQ+ communities

Rural communities.

Indigenous communities.

Individuals with physical, mental, and/or emotional disabilities.

None of the above apply

Which of the following best describes you?

I am a senior leader in my institution/department.

I have secured approval from my institution/department to use Vot-ER tools.

I am using Vot-ER tools in a way that doesn't require institutional sign-off

I am working to secure sign-off

Other