Advocacy Application

First Name

Last Name

Email Address

Address (Apt., unit. [if applicable])

City

Zip Code

Phone (xxx) xxx-xxxx

How long have you been homeschooling privately? How long have you been homeschooling privately? 0-1 year 1-3 years 4-5 years 5+ years

How many of your children will participate in advocacy and training with you? How many of your children will participate in advocacy and training with you? None 1-2 3-4 5+

I currently support/have supported Christian Home Educators Association and/or Family Protection Ministries. I currently support/have supported Christian Home Educators Association and/or Family Protection Ministries. I am/was a member of Christian Home Educator of California (CHEA). I donate/have donated to Family Protection Ministries (FPM). I have done both. I have done neither.

Will your spouse participate in advocacy and training with you? Will your spouse participate in advocacy and training with you? Yes No Maybe

What is your spouse's name?

Do you already know who your senator and assembly member are and how to find their district office? If you do not know, click the icon next to "no" to find your legislator(s). Then please enter your district numbers below. Do you already know who your senator and assembly member are and how to find their district office? If you do not know, click the icon next to "no" to find your legislator(s). Then please enter your district numbers below. Yes! No, I need help!

Assembly District Number

Senate District Number

Which legislator would you contact? (View locations by clicking arrow) Which legislator would you contact? (View locations by clicking arrow) Assembly Member Senator Both

Will you be advocating on behalf of a homeschool group? Will you be advocating on behalf of a homeschool group? Yes No

GROUP LEADER First Name

GROUP LEADER Last Name

GROUP LEADER Address (Apt., unit. [if applicable], City, Zip

GROUP LEADER Phone (xxx) xxx-xxxx

GROUP LEADER Email Address

PROMISE OF COMMITMENT: The training materials (Homeschool Information Packet, Effective Advocacy book, etc.) costs us around $25 to produce and mail to you. Please know we are relying on you to make contact with your legislators. PROMISE OF COMMITMENT: The training materials (Homeschool Information Packet, Effective Advocacy book, etc.) costs us around $25 to produce and mail to you. Please know we are relying on you to make contact with your legislators. Count on me!