HOPE

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Become a HOPE Community Advocate

**= required information

First Name: **

Last Name: **

Email Address: **

Street Address:

City: **

State: **

Zip: **

Phone Number: **

I'm interested in helping to:

Improve health care

Improve our schools

Protect our retirements

Fix immigration laws

Increase family income

Ensure reliable public services

Increase voter participation

I'm willing to:

Talk to my neighbors and/or co-workers

Hand out materials

Attend a rally or event

Meet with other community advocates

Send an email to an elected official

I'd like to receive email alerts about online actions:

Political Affiliation::

Please check all the boxes below that describe you:

PTA Member

SEIU Member

Liberal

Moderate

Parent w/ young child

Senior

Married

City employee

School employee

Nurse

Janitor

Regularly attends church

Labor union member

Conservative

Veteran

Parent w/ school age child

Single

Public Employee

County Employee

Head Start Employee

Health Care Employee