Join the Caucus Name * First Name Last Name Email * Phone (###) ### #### Are you currently an elected official? YES NO Where are you located? Address 1 Address 2 City State/Province Zip/Postal Code Country Provide us with a brief bio or link to your bio What year does your current term expire? * 2023 2024 2025 2026 2027 Are you eligible for re-election? * YES, I am eligible to run for re-election NO, this is my last term in office Can you commit to attend the Caucus' three convenings throughout the duration of the calendar year? (February, July, December) * (In-person attendance is preferred, however virtual attendance is available if necessary) YES NO Shirt Size Option 1 Option 2 Thank you! A member of our team will reach out to you shortly!
