APPLY

If you are interested in running for office or working for progressive candidates and could use direct cash assistance, fill out the form below. Applicants are considered on a rolling basis and should expect to hear back within two weeks; please indicate if the request is on a specific or more urgent timeline and that will be taken into consideration.

Name

First Name

Last Name

Phone

(###)

###

####

Address:

Birth Date

YYYY

I am a:

Are you involved in a campaign?

If yes: Which campaign are you involved with? (Please include committee name and indicate if local/state/federal office and district number where applicable)

If no: What type of campaign do you hope to be a part of? Tell us about your leads, or indicate if you need help being connected with campaign opportunities. (1500 characters max)

Tell us about your background. (1500 characters max)

Why are you interested in politics? (1500 characters max)

Tell us about your values. Where do you lean politically? What issues do you care about most? (1500 characters max)

What do you want your impact to be? (1500 characters max)

Is there anything else you want us to know about you? (1500 characters max)