Get Involved

Submission Date (mm/dd/yyyy)

Your Name*

Your Gender*

MaleFemale

Your DOB* (mm/dd/yyyy)

Your Email*

Please confirm your Email*

City*

State* (select from dropdown)
AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaVirgin IslandsWashingtonWest VirginiaWisconsinWyomingOther - Not in US

If outside U.S., please specify state:

Country* (select from dropdown)
United States of AmericaUnited KingdomThe NetherlandsNew ZealandAustraliaAustriaBahamasBelgiumBelizeBrazilCanadaChileChinaColombiaCosta RicaDenmarkDominican RepublicEcuadorFinlandFranceGermanyHungaryIndiaIndonesiaIrelandIsraelItalyJamaicaJapanMexicoNorwayPanamaParaguayPeruSouth AfricaSpainSwedenSwitzerlandUruguayVenezuelaOther

If Country not in dropdown, please specify:

How would you like to help? (Check all that apply):

Maintain list of policies (mail, visitation, etc.) for selected state(s) (specify below)

Specify State(s)

Post or distribute fliers to recruit volunteers in your area
Be a guest blogger (enter topic below)
Give stamps - as little or as many as you choose
Remote office help - If you have access to a computer, wifi, and have database experience, you can help us clear out some of our backlog
Check here if you're local to Eugene, Oregon and would be interested in attending one or more Volunteer Saturdays where we sort, catalog, and enter surveys into our database

Additional comments

How did you hear about us?* (Please be specific)