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VOLUNTEER APPLICATION FORM
Name: _____________________________________________________________________ Address: ___________________________________________________________________ City: _____________________________________ State: __________ ZIP: ________- ____ Phone: (Home) ___________________________ (Work) ____________________________ E-mail address: ____________________________ Precinct (if known)__________________ I am willing to help with (check all that apply):
I prefer to work: ( ) Wherever Needed ( ) At Home I am available on (List days of the week and preferred hours): ___________________________________________________ ___________________________________________________ ( ) I am not available on Election Day. ( ) I am available on Election Day to: ( ) Distribute literature near the polls ( ) Telephone ( ) Drive ( ) Baby-sit ( ) Contact voters door-to-door (usually in own neighborhood)
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