Let’s log our minutes!
This form is NDSA’s way of tracking our civic engagement and social action efforts. Record your activities to help us track our collective impact as we honor our legacy of service since 1913."
Email
*
example@example.com
Who's completing the form?
*
First Name
Last Name
Select your POD
*
Delta
Alpha
Beta
Gamma
Epsilon
Activity Date
*
-
Month
-
Day
Year
Date
Activity Name
*
Type of Activity
*
Canvassing
Election clerk
Election judge
Hosted an Event
Phone Banking
Poll Worker
Postcard Mailing
Texting
Voter Education
Voter Registration
Other
How many people did you register?
*
How many people did you text?
How many postcards did you mail?
Is this a NDSA sponsored event?
*
Yes
No
Who is the Host Organization
*
Please Select
Black Voters Matter Fund
Campaign Affiliation
Collin County Election Office
Dallas County Election Office
Denton County Election Office
Tarrant County Election Office
Delta Sigma Theta Sorority HQ
Delta Sigma Theta Sorority Chapter
D4 Women In Action
D9 Organization
League of Women Voters
March To The Polls
Mom’s Rising
NAACP
National Coalition of Black Civic Participation
National Council of Negro Women, Inc
National Urban League
NPHC
When We All Vote
Win With Black Women
Other
List 'Other" Organization
*
How long did this take? (minutes)
*
Is there another activity?
*
Yes
No
Activity Date
*
-
Month
-
Day
Year
Date
Activity Name
*
Type of Activity
*
Canvassing
Election clerk
Election judge
Hosted an Event
Phone Banking
Poll Worker
Postcard Mailing
Texting
Voter Education
Voter Registration
Other
How many people did you register?
*
How many people did you text?
How many postcards did you mail?
Is this a NDSA sponsored event?
*
Yes
No
Who is the Host Organization
*
Please Select
Black Voters Matter Fund
Campaign Affiliation
Collin County Election Office
Dallas County Election Office
Denton County Election Office
Tarrant County Election Office
Delta Sigma Theta Sorority HQ
Delta Sigma Theta Sorority Chapter
D4 Women In Action
D9 Organization
League of Women Voters
March To The Polls
Mom’s Rising
NAACP
National Coalition of Black Civic Participation
National Urban League
NPHC
When We All Vote
Win With Black Women
Other
List 'Other" Organization
*
How long did this take? (minutes)
*
Save
Submit
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