Legislator Nomination Form

First Name

Last Name

Email

Nominee’s First Name

Nominee’s Last Name

Office or Position

Next Election Date

Month/Year

Brief Reason for Nomination

Why do you think this person is a friend of homeschooling?

Nominee’s Email (optional)

Or email for nominee's staff

Nominee’s Phone Number (optional)

Or phone number for nominee's staff

Nominee’s Government Website (optional)

Nominee’s Campaign Website (optional)

Nominee’s Social Media (optional)