You can always press Enter⏎ to continue
Welcome
Thank you for taking the time to make your voice heard. Please fill out and submit this form. We keep your contact information private.
8
Questions
START
1
Name
*
This field is required.
By providing your information, you can receive election reminders.
First Name
Last Name
Heading
Next
Submit
Press
Enter
2
Phone Number
*
This field is required.
By providing your information, you can receive election reminders.
Please enter a valid phone number.
Heading
Next
Submit
Press
Enter
3
Email
By providing your information, you can receive election reminders.
example@example.com
Heading
Next
Submit
Press
Enter
4
What issues are most important to you?
Check all that apply.
Tax reduction
Critical Race Theory
Sexual Content
Teacher support
Transparency of Administration
Transparency of School Board
Teacher-Student Ratio
Curriculum
Bullying
Discipline
Gender Issues
Vocational Studies
Extracurricular activities
Other
Heading
Next
Submit
Press
Enter
5
Most Important Issues to You
Choose the top 3 issues that are most important to you.
Tax reduction
Critical Race Theory
Sexual Content
Teacher support
Transparency of Administration
Transparency of School Board
Teacher-Student Ratio
Curriculum
Bullying
Discipline
Gender Issues
Vocational Studies
Extracurricular activities
Other
Heading
Next
Submit
Press
Enter
6
Text reminder of early voting
Yes or No. I respect your privacy and preferences.
YES
NO
Heading
Next
Submit
Press
Enter
7
Text reminder of election day.
Yes or No. I respect your privacy and preferences.
YES
NO
Heading
Next
Submit
Press
Enter
8
I would like to volunteer to help your campaign.
put out signs, call, survey, etc
YES
NO
Heading
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
8
See All
Go Back
Submit
