First Name (required)

Last Name (required)

Email (required)

Phone (required)

Zip Code (required)

Have you volunteered for a Gun Violence Prevention group before? (required)

YesNot yet

1st Choice Committee Assignment: (required)

---EducationLegislationEventsCommunicationsSurvivorsData

2nd Choice Committee Assignment:

- none -EducationLegislationEventsCommunicationsSurvivorsData

Your skills: (required)

Please list your personal skills you'd like to leverage to support our efforts, such as "PR experience," "Legal advocacy," "Nonprofit governance," "Graphic design," "Public speaking," "Government connections," or anything else you would like to offer.

Availability: Hours per Week (required)

How many hours per week can you ofer, on average?

up to 1up to 2up to 3up to 4more than 4

Spanish speaker?

Do you speak Spanish, and would you be willing to address audiences and the news media in Spanish?

¡SÍ! Hablo español y puedo hablar en público.No Spanish

Comments?