Science on the Ballot

This form is intended for volunteers to sign up for our 2024 Election Cycle Science on the Ballot Initiative to ask candidates for office a crucial question: “what is your stance on urgent issues in science?” We will be launching our efforts this summer with coalitions across as many states as we can (hopefully all 50!). As a volunteer you will be involved in developing these crucial questions, and will spend the next 18 months engaging local, state, and federal political candidates on science policy topics. If you have any questions please do not hesitate to reach out to programs@scipolnetwork.org! ----- NSPN is dedicated to advancing our diversity, equity, inclusion, and accessibility (DEIA) values in all aspects of our organization. This includes supporting members of underrepresented minorities (URM) and allies who seek to positively contribute to DEIA causes. To this end, please be sure to discuss your URM identity and your DEIA goals throughout the application prompts.

First Name

Last Name

This is the primary way we will be in contact with you.

Secondary Email

This is especially helpful if you believe your primary email may change between now and the end of the program.

What is your current role?

Please select all that apply.

What is your current degree status?

Ph.D
Master's (MS, MA, MPA, MPH etc...)
Undergraduate
Other, please specify
None at this time

Please select the state coalition that you would like to volunteer with.

This may be the state in which you currently reside, or where you are from, whatever you feel makes the most sense in terms of engaging with candidates on science and technology issues.

Add

Please select your University, College, or Organization from the following list.

If your institution is not listed, please select add it in the next question.

Add

If your University, College, Organization or Institution was unlisted above, please add it here:

What relevant experience or skills do you bring to this initiative that you would like to share with the organizers?

Please share anything you feel might be relevant from local organizing, to advocacy initiatives, election campaigns, media relations or anything else.

What are you hoping to learn or gain by participating in this program?

{name}

How did you hear about Science on the Ballot?

Please select all that apply

How would you like to be involved with the 2024 Science On the Ballot Initiative?

We need volunteers with all levels of engagement and availability. Please select all of the ways that you would like to be engaged with us below. 1 - Support the work of my state coalition to draft questions, letters, and other materials for reaching out to partners, candidates, and voters 2 - Help conduct outreach to campaigns, the press, and the public through email, phone calls, and in-person events (where applicable) 3 - Lead and organize the state coalition itself by recruiting members and coordinating efforts with NSPN

How much time, on average, would you be able to commit to being engaged with your state coalition?

Less than 1h/ week
1-3h/ week
More than 3h/ week

What questions do you have for the organizers?

{name}

Do not submit passwords through this form. Report malicious form

Alert