SJCDBC Membership Application

  • Please fill out the form below. If you prefer to fill out the form by hand, please click the 'Print' button at the end of this form for a printer-friendly version. The printable version is formatted for easy handwriting with ample space for your answers.

  • St. Johns County Democratic Black Caucus

    Membership Application

  • Our History

    At the Florida Statewide Democratic Party Convention in 1981, a decision was made to unite Black Democrats throughout the State. That later resulted in the organization of the Democratic Black Caucus of Florida. In 2021, a chapter was established in St. Johns County. The Black Caucus does not exclude members based on race, ethnicity, gender or religion. All registered Democrats who support the Caucus mission and initiatives are welcome to join.

  • Mission Statement

    We stand to ignite social, economic, and political empowerment, support leaders who fight for justice in St. Johns County, and drive fearless advocacy and outreach for every Black voice, every generation, every corner of our community.

  • Application Information

  • Date of Birth*
     - -
  • Format: (000) 000-0000.

  • All District Information is also on your Voter ID card 

    https://www.census.gov/mycd/ 

  • https://housedocs.myfloridahouse.gov/MyElectedOfficials?lat=29.9796175&long=-81.5222681 

  • https://www.flsenate.gov/senators/districts  

  • Do you reside in St. Johns County?*

  • Annual Membership Dues

  • Membership Fee*
  • Membership Type*
  • Payment is required at time of application:*

  • ActBlue.com-Membership

  • We would like to get to know more about you! 

  • What Social Media Do You Use?
  • Let us know what areas you have an interest in. Choose as many as you want. A committee chair will contact you and let you know more about what they are working on!
  • Date*
     - -
  • Should be Empty: