1.Basic Information

Name

Email

Phone Number

Preferred Method of Contact

2.What coalition issues are you most interested in?

Community education & awareness

Policy & Advocacy

Youth Engagement

Faith-based outreach

Event Support

Data Collection/Research

Communications & Storytelling

Fundraising & donor engagement

Other (please specify)

3.How would you like to be involved?

Attend community meetings

Volunteer at events

Serve on a committee or workgroup

Advocate (calls, email, share information on social media)

Help with outreach tabling

Hands-on Support (organizing supplies, assembling resource kits, light physical tasks, in-office help)

4.How much time are you able to commit?

One-time opportunities

1-2 hours per month

3-5 hours per month

Seasonal or project-based

Ongoing/As needed

Other (please specify)

5.Do you have any skills you'd like to share?

Public Speaking

Writing or editing

Graphic Design

Social Media

Facilitation

Event Planning

Data Collection or evaluation

Lived experience/ peer support

Other (please specify)

6.What would you like to learn more about?

Coalition issues & impact

Advocacy & policy process

Leadership development

Community Organizing

Trauma-informed approaches

Other (please specify)

7.Is there anything else you'd like us to know about how you'd like to be involved?