Board and Committee Interest form

Majority in the Middle

Board and Committee Application Form
We're giving those in the middle
a place to gather outside the back-and-forth,
elevating voices of people
who are modeling behavior we want to see,
and working on ways to bring a little more civility
and a little less partisanship to our politics.

Thank you in advance for submitting your information. We'll be in touch!
Name

First NameLast Name
Email
Phone Number
Format: (000) 000-0000.
Address (just city/state)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Current Employer
Do you currently volunteer for any other advocacy organizations or nonprofit boards or committees? If so, please list them.
Do you identify as a member of a political party?

NoYes, DFLYes, Traditional RepublicanYes, Trump RepublicanYes, LibertarianYes, GreenYes, Democratic SocalistYes, Independence/AllianceYes, MarijuanaYes, ForwardOther
Do you have a formal role in a political party? If so, please describe the role.
(local BPOU officer, delegate, etc.)
Have you ever been elected to office?

Yes, currentlyYes, pastNoNo, but I plan on running for office
If yes, in what role?
(Office held or holding)
Are you a registered lobbyist?

YesNo
If yes, in which state(s)?
I am interested in the following volunteer opportunities:

Board of DirectorsCommunications CommitteeDevelopment CommiteeeLocal Elected Officials Advisory Committee (limited to those who are in or held nonpartisan local office)Legislative Advisory Committee (limited to those who are or have served in the legislature)Help track bills for the State of Bipartisanship reportEvent Volunteer (help with setup, registration, etc.)Host a FundraiserOther
Why are you interested in participating with Majority in the Middle?
I have demonstrable experience in:

LawBookkeeping/AccountingFundraisingCommunications/MarketingCandidate or Issue Campaign - paidCandidate or Issue Campaign - volunteerNonprofit Organization Management
Date

MonthDayYear
Date
Should be Empty:

Majority in the Middle