Citizens for Pennsylvania's Future (PennFuture): Survey

PennFuture Volunteers

PennFuture truly could not be successful without the continued involvement of our members and supporters. As a public interest group, we thrive most when we have citizens engaging in our work, writing to their legislators and attending our events.

You can help PennFuture continue to grow and succeed through many of our volunteer opportunities. No matter where you are in the Commonwealth, you can help us with tasks such as writing letters to newspapers, event planning, data entry or visiting with legislators.

Sign up as a PennFuture volunteer today. There’s no time commitment- we’ll simply contact you when an opportunity arises in your area or field of interest and invite you to participate.

Tell us about yourself:

*

Name:

Title	First Required	Middle Required	Last Required	Suffix

*

Email: Required

Yes, I would like to receive e-mail from Citizens for Pennsylvania's Future (PennFuture)

Yes, I would like to receive postal mail from Citizens for Pennsylvania's Future (PennFuture)

Remember me. What's this?

Question - Not Required - Home Address:

Question - Not Required - City:

Question - Not Required - State:

Question - Not Required - Zip Code:

Question - Not Required - Home Phone:

Question - Not Required - Office Phone:

Question - Not Required - Mobile Phone:

Question - Not Required - If you entered a mobile phone number, do you accept text messages?

Please select the activities you are interested in:

Question - Not Required - Select all that apply.

	Any
	Administrative (office work/data entry)
	Collecting signatures
	Distribution of materials
	Event assistance
	Event planning
	Legal work
	Legislative visits
	Letter writing
	Outreach
	Phone calls
	Research
	Tabling at events

Please select your areas of interest:

Question - Not Required - Select all that apply.

	Any
	Agricultural
	Air
	Energy
	Global Warming
	Green jobs
	Health
	Land use
	Marcellus Shale Drilling
	Media Center
	Mining
	Next Great City
	Pennsylvania Works!
	Transportation
	Waste
	Water

Please select the counties/regions in which you'd like to help:
Select all that apply.

Question - Not Required - Central Region:

	All in Central Region
	Centre County
	Clearfield County
	Clinton County
	Mifflin County
	Montour County
	Northumberland County
	Schuylkill County
	Snyder County
	Union County

Question - Not Required - Midstate Region:

	All in Midstate Region
	Adams County
	Cumberland County
	Dauphin County
	Juniata County
	Lancaster County
	Lebanon County
	Perry County
	York County

Question - Not Required - North Central Region:

	All in North Central Region
	Bradford County
	Cameron County
	Elk County
	Lycoming County
	McKean County
	Potter County
	Sullivan County
	Tioga County

Question - Not Required - Northeast Region:

	All in Northeast Region
	Carbon County
	Columbia County
	Lackawanna County
	Lehigh County
	Luzerne County
	Monroe County
	Northampton County
	Pike County
	Susquehanna County
	Wayne County
	Wyoming County

Question - Not Required - Northwest Region:

	All in Northwest Region
	Clarion County
	Crawford County
	Erie County
	Forest County
	Jefferson County
	Mercer County
	Venango County
	Warren County

Question - Not Required - South Central Region:

	All in South Central Region
	Bedford County
	Blair County
	Cambria County
	Franklin County
	Fulton County
	Huntington County

Question - Not Required - Southeast Region:

	All in Southeast Region
	Berks County
	Bucks County
	Chester County
	Delaware County
	Montgomery County
	Philadelphia County

Question - Not Required - Southwest Region:

	All in Southwest Region
	Allegheny County
	Armstrong County
	Beaver County
	Butler County
	Fayette County
	Greene County
	Indiana County
	Lawrence County
	Somerset County
	Washington County
	Westmoreland County

Question - Not Required - Comments/Questions:

(Maximum response 255 chars, approx. 5 rows of text)

*

Question - Required - Before submitting, please type the text you see below:

Change image