Contact information
- Name of Organization:
- Fiscal Sponsor (if applicable):
- Person completing survey:
- Email:
- Executive Director:
- Executive Director Email:
About your voter engagement program
- Please select the race & ethnicity of your target voter population(s):
- Asian
- Black/African American
- Indigenous
- Latinx
- Middle Eastern & North African
- Native/Tribal
- Native Hawaiian & Pacific Islander
- Other (please specify)
- Based on PREVIOUS electoral programs, what areas in [ indicate region ] have you been able to reach? Please list below.
- For this UPCOMING electoral program, what areas in [ indicate region ] are you intending to reach? Please list below.
- Please outline your [ insert election year ] voter engagement plans in 3 bullet points.
- Will your voter engagement program be addressing any local or state ballot measures? If so, please specify.
For private foundations, please reference guidance on ballot measures.
- Does your organization have a fundraising gap for your [ insert election year ] work? If so, please specify.
- Anything else we should know about your [ insert election year ]: