APPLY TO BECOME A NWROOTS PARTICIPANT
Use the following form to apply to become a participant in the NWroots service. If you would like to join both NWroots and the Northwest Progressive Institute, don't bother filling out this application. Just head over to our Join Us page.
APPLICATION
Your Name (First and Last):
Desired NWroots Username:
(we suggest your first and last name together)
Your Telephone Number:
Your Email Address:
(if you don't have one, you can skip this field.)
Please tell us a little bit about your history as an activist. Do you have a blog? (If so, please include the URL.) Are you involved with a progressive organization, the Democratic Party (which local?), or a Democratic campaign? The more detail, the better.
Agreement:
By checking the box below and clicking submit, I release this application, including all of the above information, to the Northwest Progressive Institute, and certify that it is accurate. I understand that my privacy will be protected and my personal information will not be shared with any outside entity at any time. I affirm my desire to become a NWroots participant.
© 2006 Northwest Progressive Institute.
