DSA Medicare for All

This form is for DSA chapter leaders to get their chapter involved in DSA M4A's House Pressure campaign. If you are a chapter or OC leader, or lead activist in your chapter's Medicare for All/healthcare committee or working group, please let us know you're interested in getting involved!

Name*
Email*
ZIP Code*
State*
What chapter/organizing committee are you in?*
What are your roles in the chapter, elected and otherwise?*
Does your chapter have a Medicare for All or healthcare activism committee/working group?
Has your chapter adopted a resolution endorsing the National Medicare for All Campaign? You can find and adapt a draft of such a resolution here.
If yes, who are the leaders of that committee/working group?

House Campaign Chapter Sign-up