WCDP-Black Caucus - 2025 Membership Application Form

WCDP BLACK CAUCUS 2025 Membership Application

To apply for membership please complete all questions.
The Michigan Democratic Party Black Caucus was founded by, the late Senator David Holmes of Detroit with the mission of supporting and promoting African Americans for political office, promoting pro-African American policies, addressing the political concerns of the African American community, and educating African Americans about political issues.

The Washtenaw County Democratic Party Black Caucus (referred as the WCDP Black Caucus) is a related organization of the Washtenaw County Democratic Party. The WCDP Black Caucus will develop a strong infrastructure at the local level. This will allow us to focus our efforts on increasing the number of African American Candidates, generating community empowerment, and forming political policies to improve education, public transportation, health care resources, and crime prevention in our communities. We will work diligently to enhance community and individual participation in the political process, increase cultural and economic opportunities, strengthening our families, bettering our neighborhoods, and improving the lives of our children.

PLEASE JOIN WITH US.
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Primary Phone Number*
Alternative Phone Number
Voting District
Service Areas of Interest*

CampaignCommunicationsEndorsementsFinanceFundraisingMembershipPolitical OrganizingRules and BylawsOtherUnable to participate at this time
Are you a current member of the Michigan Democratic Party?*

YesNo
Is this application for a NEW membership or a RENEWAL?*

NewRenewal
Membership Type *
prevnext( X )
Standard Membership
$25.00



Youth Membership Up to age 17
$10.00



Senior Membership Must be 60+ years old.
$15.00
IMPORTANT NOTICE:

Upon receipt of your application, an invoice will be issued to you from the Finance Team requesting payment of your membership fee. A payment must be made within 72 hours.

Members of WCDP Black Caucus must also hold membership with the Michigan Democratic Party. Click HERE for additional information on how to join. Additional terms and conditions will apply.

Please email Membership Services at wcdpblackcaucus@gmail.com with any additional questions. Please be sure to reference your name in the subject line. Example: Membership - Jane Doe
I have read and fully acknowledge the Important Notice and understand that additional Terms and Conditions will be applied to my membership.*

Yes
Date of Signature*

MonthDayYear
Date
Signature*

Powered by Jotform SignClear
Should be Empty:

WCDP BLACK CAUCUS 2025 Membership Application