Legislative District Committees
Application for Central New Jersey

Thank you for your interest in our Legislative District Committees for Central New Jersey, which encompass the following counties:

Mercer, Middlesex, Monmouth, and Ocean

(NOTE that we have separate applications for LDCs in Northern NJ and Southern NJ.)

Please fill out the following application. Your answers to the four questions can be of any length. When you are finished, hit the Submit Form button. We will get back to you.

If you have any questions, please contact the Northern New Jersey LDC Organizer, Ladonna Blount — email: ladonna@njcitizenaction.org.

Contact Information

First Name
Last Name
Address
City
Zip
Phone – Day
Phone – Night/Cell 
Email

Questions

1. What is your political experience and/or other experiences working on issues? (required information)



2. What issues are important to you?



3. How much time can you commit to working with Citizen Action?



4. Is there anything else you would like to tell us about yourself?

  


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