Page 1 of 4

Vot-ER Healthy Democracy Campaign Sign Up Form

Are you signing up as a captain, team member, or faculty advisor?

First name

Last name

Pronouns

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

Race or Ethnicity

Email

Phone Number

Field of Study

Please provide your year of study