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Vot-ER Healthy Democracy Campaign Team Captain Sign-Up

First name

Last name

Pronouns

Pick one or more pronouns, or select 'Custom' to write your own
Pronouns
A
B
C
D

Email

Phone number

School

Search for your school name or select My school isn't listed to type it in.
Untitled checkboxes field

Search for your school

State

Were you a Healthy Democracy Campaign team captain last year?

Were you a Healthy Democracy Campaign team captain last year?
A
B

If you're on Twitter, please share your handle:

If you're on Instagram, please share your handle:

What excites you most about being a Healthy Democracy Campaign Team Captain?

Select up to three options, or write your own. There are no wrong answers! 😀
What excites you most about being a Healthy Democracy Campaign Team Captain?
By completing this form, you are consenting to provide Vot-ER with your personal contact information for the purposes of communication and the Healthy Democracy Campaign.