February DSA for Bernie Report Form

February DSA for Bernie Report Form

Use this form to report your chapter's engagement in the DSA for Bernie Independent Expenditure Campaign.
Name*

First NameLast Name
Email*
example@example.com
DSA Chapter*
Chapter Position (If Applicable)
I am Reporting:*

An Upcoming Event to Add to our DSA for Bernie Map and to Share with our AlliesThe Results of our Work for the Month of February
Instructions

Make a new submission for each individual event. This will make sure that we can share your event on our DSA for Bernie Map and with our allies in NNU, CPD, and Peoples' Action. This will also allow us to track our progress towards our goals in January.
Upcoming Event Type*

Debate Watch PartyTabling for Bernie (in the Community)Tabling for Bernie (at a College Campus)Door to Door Canvass (using VAN)Door to Door Canvass (without VAN)Other
Upcoming Event Name
Upcoming Event Date

MonthDayYear
Date
Upcoming Event Start Time

:HourMinutesAM/PM Option
Upcoming Event End Time

:HourMinutesAM/PM Option
Upcoming Event Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Upcoming Event Brief Description (1-2 Sentences)
Upcoming Event Social Media Page
Notes or Other Information About Event
In February, my chapter: (select all that apply)*

Held a Debate Watch PartyTabled for Bernie (in the Community)Tabled for Bernie (at a College Campus)Knocked Door to Door (using VAN)Knocked Door to Door (without VAN)None Yet, But Want to Get InvolvedOther
My Chapter holds Bernie Events*

Weekly or More FrequentlyMonthlyWe Just Started!None Yet
Resources My Chapter Would Find Useful
My Chapter Held:

A Phone BankA Door to Door CanvassA Tabling EventA Crowd Canvass
My Chapter:

Uses VANDoes Not Use VAN, But Wants AccessDoes Not Use VAN, Uses Another TrackerOther
Total Number of Voter Contact Events In February
Number of Volunteer Shifts
Number of Attempts (Doors or Phones)
Number of Contacts
Number of Positive IDs
Total Number of Debate/Education/Social Events In February
Our Chapter held:

A Debate Watch PartyAn Educational Event/Town HallA Social EventA House PartyOther
Number of Events
Number of Attendees
Money Raised
Number of Commitments to Volunteer Shift
Follow-up plan for sign-ups?
Thoughts from your February experience?
Should be Empty:

February DSA for Bernie Report Form

Instructions