February DSA for Bernie Report Form
Use this form to report your chapter's engagement in the DSA for Bernie Independent Expenditure Campaign.
Name
*
First Name
Last Name
Email
*
example@example.com
DSA Chapter
*
Anchorage
SE Alaska
Birmingham
Mobile
Northern Alabama
Central Arkansas
Northwest Arkansas
Flagstaff
Phoenix
Tucson
Chico
East Bay
Fresno
Inland Empire
Kern County
Long Beach
Los Angeles
North Bay
Orange County
Peninsula CA
Pomona Valley
Sacramento
San Diego
San Francisco
San Luis Obispo DSA
Santa Barbara
Santa Cruz
Silicon Valley
DSA Ventura County
Boulder DSA
Colorado Springs
Denver
La Plata County
Central Connecticut
Quiet Corner
Western CT
Metro DC
Broward County
Central FL
Daytona Beach
Jacksonville
Miami
Orlando
Palm Beach County
Pinellas
Space Coast
Tallahassee
Tampa Bay
Augusta
Metro Atlanta DSA
Honolulu
Central Iowa
Dubuque Democratic Socialists
Heart of Iowa
Iowa City
Muscatine
Boise
Bloomington-Normal
Champaign-Urbana
Chicago
Northern IL
Peoria
Sangamon County
Southern IL DSA
West Suburban IL
Quad Cities
Bloomington
Central Indiana
Nothern Indiana
Southern Indiana
Lawrence, Kansas
Wichita
Lexington
Southern Kentucky
Louisville
Baton Rouge
New Orleans
Berkshires
Boston
Cape Cod
North Shore
Pioneer Valley
Worcester
Greater Baltimore
Southern Maine
Detroit
Greater Grand Rapids
Huron Valley
Lansing
Marquette
Northern Michigan
SW Michigan
Upper Peninsula
Rochester, MN
Twin Cities
Twin Ports
Mid-Missouri
Ozarks
Saint Louis
Kansas City
Southern Mississippi
Billings
BozemanDSA@gmail.com
Helena MT
Western MT
Asheville
Piedmont
Charlotte Metro
Red River Valley
Lincoln
Omaha
Southern New Hampshire
Central New Jersey
Jersey Shore
Northern New Jersey
Southern New Jersey
Albuquerque (formerly Central NM)
Santa Fe
Las Vegas
Northern Nevada
Binghamton
Buffalo
Capital District
Hudson Valley
Ithaca
Nassau County
New York City Democratic Socialists
ROCDSA
Suffolk County
Syracuse
Akron
Cleveland
Columbus
Dayton-Miami Valley
Metro Cincinnati
Northwest OH
Portage County
Southeast OH
Green Country
Oklahoma City
Central Oregon
Eugene
Heart of the Valley
Portland, Oregon
Salem
Centre County
Erie
Harrisburg
Lancaster
Lehigh Valley
Philly
Pittsburgh
Steel Valley
Providence/SE MA
Charleston
Columbia
Brookings
West River
Knoxville-area Chapter
Memphis-Midsouth DSA
Middle TN
Northeast TN
Chattanooga Democratic Socialists of America
Austin Democratic Socialists of America
Brazos Valley
El Chuco del Norte (El Paso)
Houston
North Texas
Permian Basin
Rio Grande Valley
San Antonio
Tarrant County
Salt Lake City
Southern Utah
Charlottesville
Fredericksburg (Richmond Branch)
Richmond
Tidewater
Burlington
Olympia
Palouse
Seattle
Snohomish County (SnoCo)
Tacoma
Tri-Cities
Walla Walla
West Sound Democratic Socialists of America Organizing Committee
Whatcom County
Spokane
Madison Area
Milwaukee
Kanawha Valley
North Central West Virginia
Eastern Panhandle of West Virginia Democratic Socialists of America
Southeast Wyoming
Chapter Position (If Applicable)
I am Reporting:
*
An Upcoming Event to Add to our DSA for Bernie Map and to Share with our Allies
The Results of our Work for the Month of February
Instructions
Make a new submission for each individual event. This will make sure that we can share your event on our DSA for Bernie Map and with our allies in NNU, CPD, and Peoples' Action. This will also allow us to track our progress towards our goals in January.
Upcoming Event Type
*
Debate Watch Party
Tabling for Bernie (in the Community)
Tabling for Bernie (at a College Campus)
Door to Door Canvass (using VAN)
Door to Door Canvass (without VAN)
Other
Upcoming Event Name
Upcoming Event Date
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Month
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Day
Year
Date
Upcoming Event Start Time
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Hour
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10
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40
50
Minutes
AM
PM
AM/PM Option
Upcoming Event End Time
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2
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5
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9
10
11
12
:
Hour
00
10
20
30
40
50
Minutes
AM
PM
AM/PM Option
Upcoming Event Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Upcoming Event Brief Description (1-2 Sentences)
Upcoming Event Social Media Page
Notes or Other Information About Event
In February, my chapter: (select all that apply)
*
Held a Debate Watch Party
Tabled for Bernie (in the Community)
Tabled for Bernie (at a College Campus)
Knocked Door to Door (using VAN)
Knocked Door to Door (without VAN)
None Yet, But Want to Get Involved
Other
My Chapter holds Bernie Events
*
Weekly or More Frequently
Monthly
We Just Started!
None Yet
Resources My Chapter Would Find Useful
My Chapter Held:
A Phone Bank
A Door to Door Canvass
A Tabling Event
A Crowd Canvass
My Chapter:
Uses VAN
Does Not Use VAN, But Wants Access
Does Not Use VAN, Uses Another Tracker
Other
Total Number of Voter Contact Events In February
Number of Volunteer Shifts
Number of Attempts (Doors or Phones)
Number of Contacts
Number of Positive IDs
Total Number of Debate/Education/Social Events In February
Our Chapter held:
A Debate Watch Party
An Educational Event/Town Hall
A Social Event
A House Party
Other
Number of Events
Number of Attendees
Money Raised
Number of Commitments to Volunteer Shift
Follow-up plan for sign-ups?
Thoughts from your February experience?
Submit
Should be Empty: