Central Ohio Involvement

A group of people from Grove City, OH is collecting information from people in the area who are interested in progressive politics. We will use this information to help people stay informed and get involved at whatever level they feel comfortable. We will never sell your information.

Contact Info
Name*
First Last
Email*
Phone**
Address
Street Address Address Line 2 City State ZIP Code
Areas of Interest

Issues*

	Very interested	Somewhat interested	Less interested
Criminal justice reform
Education
Environment
Gun violence prevention
Healthcare
Immigration
Military support
Minority and women’s rights
Opioid crisis
Voter suppression
Wealth and income inequality
Workers’ rights

What else is important to you?
Activities and Skills

Activities*

	Very interested	Somewhat interested	Less interested
Fellowship
Writing postcards
Sending texts
Making phone calls
Door to door canvassing
Attending rallies or marches
Writing letters or posts
Hosting a candidate party
Recruiting other progressives

What other activities do you have in mind?
My Skills*
(Check all that apply.)
- Fundraising
- Writing
- Speaking
- Event Planning
- Recruiting
- Social Media
- Technology
- Graphic Design
- Research
- Other…
What other skills do you possess?
What days and times are usually best for you?
Days
8am-5pm 5pm-9pm Anytime Not available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
Communication
I prefer communicating in the following way:
(Check all that apply.)
- On Facebook
- By text
- Through email
- In person
- By phone call
- Somewhere else like Slack, Google Groups, or WhatsApp
Anything else you'd like to mention as we work toward building a local, progressive coalition?

	8am-5pm	5pm-9pm	Anytime	Not available
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday

Central Ohio Involvement

Contact Info

Areas of Interest

Activities and Skills

What days and times are usually best for you?

Communication