Membership Form Please enable JavaScript in your browser to complete this form.Member 1 Name (as seen on Voter Registration) *FirstLastDisclaimer: your name as seen on your voter registration will only be seen by the Hillsborough County LGBTQ+ Democratic Caucus President, Secretary, and Membership Chair. Your preferred name will be how you are referred to and what will be displayed on all sign-in sheets.Member 1 Name (preferred) FirstLastMember 1 Pronouns *Member 2 Name (as seen on Voter Registration)FirstLastDisclaimer: your name as seen on your voter registration will only be seen by the Hillsborough County LGBTQ+ Democratic Caucus President, Secretary, and Membership Chair. Your preferred name will be how you are referred to and what will be displayed on all sign-in sheets.Member 2 Name (preferred)FirstLastMember 2 PronounsMember 1 Email *Member 2 EmailMember 1 Date of Birth OR Voter ID *Member 2 Date of Birth OR Voter IDMember 1 Phone *Member 1 – Enroll in text message communications *Yes! Send me a text to opt inNo! I do not want to receive text messagesMember 2 PhoneMember 2 – Enroll in text message communicationsYes! Send me a text to opt inNo! I do not want to receive text messagesStreet Address (as seen on Voter Registration) *City (as seen on Voter Registration) *State (as seen on Voter Registration *ZIP Code (as seen on Voter Registration) *Member 1 Type *Please select typePlease select typeFull – VotingAssociate – Non-VotingPer Caucus Bylaws, all elected officials and candidates in the current election cycle are automatically Associate members.If elected official or candidate, what seat do you hold/are you running for?Member 2 TypePlease select typePlease select typeFull – VotingAssociate – Non-VotingN/APer Caucus Bylaws, all elected officials and candidates in the current election cycle are automatically Associate members.If elected official or candidate, what seat do you hold/are you running for?Membership Level *Please select levelPlease select levelStudent – $20Individual – $35Household – $60Booster – $70Sponsor – $115Benefactor – $515If Student, Name of SchoolMember 1 – Committee ChoicesBylaws – The Bylaws Committee shall recommend such changes in the bylaws as appear necessary and feasible from time to time.Communications – The Communications Committee shall see that all activities, including meetings, are advertised through the media. It is also responsible for maintaining the Chapter online presence.Finance – The Finance Committee will assist the Treasurer in preparing the annual budget and maintaining the financial records of the Chapter. This committee is also responsible for raising funds to support Chapter activities. This committee will review the financial records for accuracy and submit a report to the Steering Committee summarizing the results of the review.Political Action – The Political Action/Campaign Committee shall review and recommend local candidates for endorsement per the Endorsement Policy and work toward the election of Democratic nominees who support the goals of this Chapter for the area covered by the Chapter, including county, state, and federal candidates.Membership – The Membership Committee shall verify that all persons applying for membership are, in fact, registered Democrats and shall also organize and assist with membership campaigns.Legislative – The Legislative Committee shall keep the Chapter updated on local and state legislation pertinent to the LGBTQ community. They will also review make recommendations on local referenda for endorsement.Member 2 – Committee ChoicesBylawsCommunicationsFinancePolitical ActionMembershipLegislativeSubmit
