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Volunteer
First Name:
Last Name:
Email:
Home Phone:
Cell Phone:
Address:
City:
Zip:
Occupation:
Neighborhood:
Municipality:
County:
Ward:
District/Precinct:
Are you registered to Vote?
Do you need an Absentee Ballot?
Are you a Union Member?
Which?
Are you a student?
Where?
Are there any groups/organizations or communities to which you could spread the word (i.e. Irish, Veterans, Teachers)?
Which?
Availability (check as many as appropriate):
Days available for volunteering:
Weekends
Mon
Tue
Wed
Thu
Fri
Times Available:
9AM-Noon
Noon-3PM
3-6PM
6-9PM
Volunteer Activity Preference:
Host a House Party/Debate Party
Distribute Literature or Signs
Phone Bank
Organize your Neighbors
Write Letters to the Editor
Door to Door Canvassing/Canvass Organizer
Help Fundraise
E-mail your contacts
Office Volunteer
Work Election Day
Donate food and/or refreshments for office volunteers
Display Yard Sign
House an out of town volunteer
Errand running
Office Reception
Media Monitoring (radio, newspapers)
Attending events to promote the candidate
Attending events/speaking on behalf of the candidate
Other:
Election Day Activities:
Be an Area Captain
Drive a Van
Work a Phone Bank
Walk a Precinct
Be a Poll Watcher
Assisting in the Office
Anything needed
Area you prefer to work
