Welcome to WIRE!
This is a member information collection form for the WIRE (Women who Identify, Recruit & Elect) group.

We are updating our existing database  of basic contact information, campaign applicable skills and volunteer interest.

This form has four sections; make sure to click "next" on the bottom of each page until done. Depending on your answers to some questions, you may be filling out 1, 2, 3, or all 4 sections.

This form should take no more than 5 minutes to fill out, we promise!

In gratitude, the WIRE leadership team.
Sign in to Google to save your progress. Learn more
First Name *
Last name *
Street address
City of residence *
Zip code *
County of residence *
email *
Phone
While we hope you might wish to be a candidate someday for elected or appointive office or a volunteer to help our candidates and/or our organization’s growth we understand that for now you may with to just be on the mailing list. If you are only on our mailing list, you will receive occassional messages about our activities, but we hope that still you will be on the lookout for qualified women who may wish to be more involved with our mission. *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms