Direct Advocacy Request Form
Submit this form to request direct advocacy support. Each request will be reviewed for alignment with our mission and core values.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Organization (if any)
What type of advocacy do you need? (choose one or more)
*
Testimony or public speaking
Letter of support/opposition
School/education support (e.g., IEP)
Housing/eviction support
Survivor/victim support
Legislative Action
Other
Briefly describe the issue or cause:
*
When and where is support needed?
*
Date or Deadline/Location or Virtual?
Acknowledgment
*
I understand that submitting this request does not guarantee participation. All requests will be reviewed for alignment with Advocacy Queen’s mission and values.
Submit
Should be Empty: