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PPC Membership Form
We would greatly appreciate as much information as you can provide. Fields marked with a red asterisk * are required. Every voting member and officer of the Progressive Populist Caucus shall complete the membership form and agree to the declaration stated below. By signing up on this website, you agree to abide by our website policies. Please make sure you read and agree prior to completing this online PPC membership form.

The PPC respects your privacy. The information collected through the Progressive Populist Caucus membership form is for our internal use only and will not be provided to third parties. If you have additional privacy concerns, please review our privacy policy.
 Please enter your mailing address.
 Please indicate your preferred phone number.
 Please indicate you preferred method of contact. This information is required.
 If you don't know your precinct, please look it up here.
 If you don't know your senate district, please look it up here.
 If you don't know your house district, please look it up here.
 If you don't know your congressional district, please look it up here.
  
 Please note that providing gender is useful when it comes time to recruit PPC members for various positions within the Party. These positions typically have gender based requirements.
   
 
 Are you a certified voter registrar?
 Please indicate which are your top 3 progressive issues.
  
 Have you had or would you like to have training in any of the following?
     
 Please indicate what volunteer activities would interest you.
 
 By completing this membership form, you agree to abide by the Progressive Populist Declaration as stated below.

I am a member of the Democratic Party. I will not vote in the nominating Primary of, nor participate in the nominating Convention of, any political party but the Democratic Party. In general principle, I support the nominees of the Democratic Party in all partisan General Elections, but I reserve the democratic choice to make exceptions in the case of nominees who do not display support for the Democratic Party’s platform or its traditional progressive populist ideals. I will strive to hold Democratic candidates and office-holders accountable to such values. I further declare that I support the Strategic Plan of the Progressive Populist Caucus as it is presently constituted and as it may be amended from time to time through democratic means. I reserve the democratic freedom to retract this Declaration and thereby withdraw from Voting Membership in the PPC.