NCNW Advocacy Action Form
NCNW is committed to supporting effective, coordinated direct action activities across all levels of our organization. This form is intended for Social Justice Chairs at the state coalition and section levels to submit planned direct action activities for National Social Justice Committee evaluation. Submissions will allow NCNW HQ to ensure alignment with NCNW’s mission, provide appropriate guidance, track policy engagement across the country, and comply with 501(c)(3) requirements. You must complete this form if your section or coalition plans to: participate in a political or candidate forum; provide testimony at a public hearing; host a candidate forum (all candidates must be invited); organize or join a protest or march; hold a press conference or engage in media outreach; send an action alert to members; publicly support or oppose legislation; meet with elected officials on behalf of NCNW; or deliver public testimony under NCNW’s name. You do not need to complete the form for nonpartisan voter registration efforts, educational sessions, or direct service projects that are not advocacy-related. Please submit the form at least four (4) business days before your planned activity to allow time for proper review and feedback.
Email
*
example@example.com
Name
*
First Name
Last Name
What is your position with NCNW?
*
NCNW Section
*
City/State
*
Is this a new advocacy action? (First submission)
Please Select
Yes
No
If this is a follow-up advocacy action, please provide a brief update on the previous action:
Does this action have your Section president's approval?
*
Yes
No
I am not a member of a section
If you answered "no" please explain.
Section president's name, email, and phone number
*
What issue area do you want to elevate?
*
Healthcare
Education
Economic Security
Social Justice
Other
Is this a local, state, and/or federal activation?
*
Local
State
Federal
What action would you like to take (Check all that apply)
*
Participate in a forum
Protest/March
Testify at a hearing
Share a public statement or Press Release
Action Alert out to membership
Media Outreach
Support a Bill
Meet with a member of the legislature while representing NCNW
Other
Proposed date
-
Month
-
Day
Year
Date
Please share in detail the specific issue:
*
If you selected "Support a bill" what is the bill number, title, and indicate federal, state, or local?
Which section(s), affiliate(s) and/or other organizations are co-sponsors?
File Upload (posters, letters, images, etc.)
Browse Files
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Choose a file
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of
What support can NCNW HQ provide? For example, a national action alert
*
Submit
Should be Empty: