Edit VA Dems CD-11

If you experience problems with this form -- please contact Denis at fairfaxgrassroots@gmail.com

Note: All info EXCEPT personal info in Section 2, will be shown on this public website.

1 Basic group info

Name of Group *Required

Abbrev. [optional]

Group's Email

Short description 12 words or fewer.
[eg: "VA chapter of national group focused on Gun Violence Prevention" ] *Required

Focus, Issues

    Location (Where you meet or headquarters)


VA Congressional District of your headquarters [Format: VA-01, VA-02, VA-03, etc.]


2 Contacts Will not display on public site.1

Primary Contact

Other contacts


3 2018 Action Plan

Does your group plan to work on the 2018 VA Congressional Elections?
[Yes, No, Senate only]

What Congressional District/s will you work on/in? [Format: VA-01, VA-02, VA-03, etc.]

4 More questions

Org type [e.g: In-person, Facebook, etc.]


Group Website [Start w http]

Group Facebook page [Start w http]

Group Twitter [Start w http]

Group Calendar [Start w http]


Number of members

Scope of work: working [Locally, Area-wide, State-wide, etc.]

More about your group. (Other info about your group: activity history, how frequently you meet, talents, future plans, etc.)