NCNW Advocacy Action Form

NCNW Advocacy Action Form

List any policy issues you think NCNW should elevate. Please allow for at least 72 business hours for a response.
Email*
example@example.com
Name*

First NameLast Name
What is your position with NCNW?*
NCNW Section*
City/State*
Does this action have your Section president's approval?*

YesNoI 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?*

HealthcareEducationEconomic SecuritySocial JusticeOther
Is this a local, state, or federal issue?*

LocalStateFederalCombination of multiple levels
If a combination, please explain.
What action would you like to take( Check all that apply)*

Participate in a forumProtest/MarchTestify at a hearingShare a public statement or Press ReleaseAction Alert out to membershipMedia OutreachSupport a BillMeet with a member of the legislature while representing NCNWOther
If you selected "other" list your answer below
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?
If you plan on using social media, which platform(s)*

InstagramTikTokX(Twitter)Facebook (Meta)LinkedInYouTubeOther
Have you reached out to other sections on this issue?*

YesNo
If you selected "yes" which section(s)?
Is this an action that you have been asked to collaborate on with an affiliate? (If yes, please list which organization)
Have you reached out to other affiliates on the issue?*

YesNo
What support can NCNW HQ provide?*
Is there any other information you would like to add? (Please submit and wait for a response within the next 72 business hours)
Should be Empty: