TO BE A PART OF THE NATIONAL MOBILIZER TEAM

Thank you for your willingness to engage in this important moment for our nation and multiply your impact by joining with our MOBILIZER team.

The mobilizer team will work closely with the 4 My Canada leadership team between now when the deadline to sign up for memberships to vote is (June 3rd).

By filling out this short survey it will help us walk with you more efficiently.

Thank you so much for signing up! Your effort could genuinely be a GAME CHANGER for our nation.

BECOMING A MOBILIZER >>>>>

First Name *

Last Name *

Street Address *

City *

Province / Territory *

Postal Code *

Email Address *

Phone Number *

MOBILIZER PREFERENCES

We will do our best to coach you every step of the way.

Please let us know a bit more about you, and specifically, what ways you are willing to help mobilize in the next several weeks. Thank you!.

Who are you planning on voting for (listed alphabetically by last name)? *

I'd be willing to call 10 or more my like-minded friends to encourage them to sign up to vote in the CPC race (preferably via the www.4mycanada.ca site). *

I'd be willing to invite 10 or more of my like-minded friends to an online "Engage" presentation (note: The Engage presentation is conducted by Faytene Grasseschi or Toyin Crandell). *

I'd be willing to host an online "Engage" presentation. *

I'd be willing to help organize a city wide "Engage - National Tour" stop in my area. (Please note: at this point this may no longer be an option.) *

I am a professional level video editor, graphic designer or other media producer and would be willing to volunteer my time to help this initiative. *

I'd be willing to help with administrative tasks related to the management of this national team. *

TEAM MEETINGS

Please let us know what times might work for you for team meetings.

I'm generally available....

Monday Afternoons
*

Monday Evening
*

Tuesday Afternoons
*

Tuesday Evenings
*

Wed. Afternoon
*

Wed. Evenings
*

Thurs. Afternoon
*

Thurs. Evenings *

Friday Afternoons *

Friday Evenings *

Sat. Afternoons *

Sat. Evenings *

Sunday Afternoon *

Sunday Evenings *

COMMUNICATIONS PERMISSION

I acknowledge that by filling this form out I am giving 4 My Canada permission to communicate with me. *

Yes

Thank you! We will be in touch soon.