Education Reform Champion

Education Reform Champion

Interest Form
The Education Reform Champions Interest Form is designed to gather information about prospective participants for our education reform initiative in Washington, D.C.

This form helps us understand your background, interests, and availability, enabling us to tailor the program to suit your skills and preferences. It also ensures that we can provide opportunities that align with your interests and contribute to our shared goal of education reform.

Your responses will guide us in creating a more inclusive, effective, and impactful program. Thank you for your interest in becoming an Education Reform Champion!
Name*

First NameLast Name
Email*
Phone number*
Ward Number*
Are you part of another community organizations?

YesNo
Please list other community organizations you are afilliated with
Background Information
Current Employer*
Job Title*
Current Student Status*
School or Universities attended
Current Community Affiliations*
Interest & Availability
Which public actions would you be most interested in?*

PetitioningWriting Opinion PieceSocial Media EngagementMobilizationCanvassingPublic SpeakingBundling (gathering your network to support a candidate's campaignTestifyingCandidate TrainingTrainingHostingPhone bankingRecruitingContent CreationBlogging
Which day(s) of the week would you be able to meet?

MondayTuesdayWednesdayThursdayFridaySaturdaySunday
What meeting times are best for you?

MorningAfternoonEvenings
Anything additional you'd like to add...
Short Answers
Yes or No
Are you comfortable using social media to promote education reform?*

YesNo
Are you interested in running for local office in the future to advance education reform?*

YesNo
Have you ever worked for an education institution (school, college, university)?*

YesNo
Are you comfortable leading or organizing community events related to education reform?*

YesNo
Have you ever spoken publicly about education reform at a community meeting, rally, or similar event?*

YesNo
Have you previously participated in electoral or political activities (canvassing, phone banking, fundraising)?*

YesNo
Comments
Should be Empty:

Education Reform Champion

Background Information

Interest & Availability

Short Answers

Yes or No