Political Volunteer Form

Name *
Street Address *
City *
Zip Code *
Day Phone *
Evening Phone
Fax
Email *
Chapter Name and Number *
School District
	Please enter a YES for your activity preference You may indicate as many as you like.
Door to Door Precinct Walking
Mailings
Lawn Sign Posting
Child Care for Phone Bank Nights
Phone Banking
General Office Work
Worksite Leafleting
Visiting Worksites for Voter Registration and/or Victory Club enrollment
Get Out the Vote
	Language Skills
Spanish
English
Other
	Best times to volunteer You may indicate as many as you like. Please enter times available.
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I am available to help with Election Day activities (Friday-Tuesday)
How far are you willing to travel to participate in an activity?


* Required Field