Volunteer Locally Thank you for offering your time to make Connecticut a safer state for all of us. * Required Name (first + last) * E-mail address * Phone number * Street Address * City * (Connecticut volunteers only, please.) Zip code * How would you like to volunteer? (Check all that apply.) Community liaison Event planning Graphic design, video, or photography Legislative / lobbying Office work / data entry Other: Have you lost a friend or loved one to gun violence? No Yes Have you experienced gun violence yourself? No Yes I am a... (Check all that apply.) Parent Teacher Student * Gun owner NRA member Law enforcement official / military Elected official / political aide Health professional Fatih leader / involved in a faith community ** Attorney Business leader Victims services professional Other: * For students: what school or institution do you attend? ** For those involved in a faith community: what community or place of worship are you part of? Do you want to receive e-mail updates? * Yes No Is there anything else you would like to tell us about yourself or your goals in volunteering? Never submit passwords through Google Forms.
