* 1. How Can We Stay in Touch with You?

* 2. How much email do you want to get?

* 3. How visible can you be?

* 4. Interest areas
These aspects are really fascinating to me:

* 5. Public Education and Outreach
I'd be good at these activities:

* 6. Organizing, Advocacy and Capacity Building
I can also do these things:

* 7. Building Our Alliance by Connecting with Community Organizations -
Here are groups that I lead, participate in, or would like to help recruit:

* 8. What Are Your Overall Goals?