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Please fill out the below form to join MIV as a new partner organization. You may download and fax back the form instead: New Partner Sign-On Form


Yes! My organization signs on to the Mobilize the Immigrant Vote (MIV) Campaign!

My organization will:

  1. Support MIV's mission increase immigrant civic engagement and voter education, and endorse the MIV Immigrant Voices Platform
    Note: Signing on as an MIV Campaign Partner DOES NOT mean you must endorse the stances MIV takes on Statewide Ballot Initiatives in past or future MIV Voter Guides.
  2. Get FREE access to MIV's multi-lingual electoral training and voter education materials. November 2010 Elections materials will available for download by early September 2010.
  3. Agree to fill out one post-elections online survey in November 2010 to help MIV document immigrant efforts statewide and to get feedback for future work.

Your Organization

Organization Name
Organization Type
a 501(c)(3) nonprofit
fiscally sponsored by a a 501(c)(3) nonprofit
Other:
Phone
Fax
Website
Address
  Street City State Zip

Head of Organization
Who oversees the organization? For example: Executive Director, President, Chair, etc.

Name
Title
Email
Phone

Primary Contact
Who should we contact for your organization’s electoral work?

Same person as Head of Organization
Name
Title
Email
Phone

Your Electoral Work

Which immigrant communities will your organization outreach to for voter education in 2010, if any?

AfghanChineseLatino
AfricanHmongPilipino
ArabIranianSouth Asian
BosnianKoreanVietnamese
CambodianLaotianFormer Soviet Union
Other

Which voter education and mobilization activities is your organization interested in conducting?

Voter Registration
Education Materials Distribution
Education Workshops
GOTV (Phone Banking, Door Knocking)
Other

In which precinct(s) or geographic area(s) will your organization conduct electoral field work?

Optional: MIV Issue Analysis Forums

Come together with community members and organizations to analyze critical issues on the November 2010 ballot. Input gathered at Issue Analysis Forums will guide voting recommendations in the MIV 2010 Voter Guide. Please check one. You will be contacted with further details.

Donations

Donations are greatly appreciated!

My organization:

will donate $30
will donate $60
will donate another amount:
will not donate

Choose a payment option:

Check
(Write the check to PILA/MIV and mail to:
1305 Franklin Street, Suite #250, Oakland, CA 94612)
Will pay online with PayPal

Notes

Do you have any other requests/comments? Please write them below:

__NORICHEDITOR__

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