Start A Local Affiliate Chapter

Full Name

Please enter your first and last name.

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Home Address

Please provide your complete home address.

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Cell Phone Number

Please provide your mobile number.

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Best Personal Email Address

Please provide a personal email address that you check regularly. Do not use a work email address.

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Target Area: City, County, or Town

What city, county, or town will your proposed Affiliate Chapter serve?

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Initial Organizing Members

Please provide the names of at least five (5) other individuals who are prepared to help organize the Affiliate Chapter.

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Current Organizational Affiliations

Please list at least three (3) organizations, associations, civic groups, community groups, faith-based organizations, professional organizations, or other groups in which you are currently involved.

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Is your group ready to “Hit The Ground”?

Select your group’s current status in organizing a local Affiliate Chapter.

Yes — We are ready to get started.

Almost — We are interested but need additional guidance.

Not yet — We are still building our organizing team.

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NOTE: Upon receipt of your information, we will soon assign a statewide official who will directly assist you in forming your local Affiliate Chapter of Virginia Crusade For Voters.org.

Start A Local Affiliate Chapter

Interested in organizing a Virginia Crusade For Voters Affiliate Chapter in your community?

Please complete the form below. This information will help us learn more about you, your community, and the individuals who are prepared to help organize a local Affiliate Chapter.

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