The Basics - Tell us how to contact you:

EMail
First Name
Last Name
Other EMail

Phone Numbers:
Home:		Work:		Extension
Cell:

Address
City		State		Zip

	Please use my name on your supporter's list
	I would like a yard sign for my home or office

Activities - Check off what you'd like to help us with:

Now until Nov. 7		Early Voting, Oct. 23-Nov. 3		Election Day Nov. 7
	Office help	Leafleting:			Help All Day!
	Help with events		Neighborhoods		Provide food for volunteers
	Help fundraise		Polling Places		Leaflet polling places
	Leaflet events	Signs:		Leaflet door to door:
				9am-12pm 1-4pm 4-7pm
	Leaflet		Put up signs
	Put up signs
	Other
				Hold banners in public places:
				9am-12pm 1-4pm 4-7pm
					Help with election night party
					Put up signs

About you - Tell us a little about yourself, this will help us find volunteer activities that fit you best!

	I enjoy leadership roles		I'm detail oriented
	I'm a little shy		I like to network with others
	I've volunteered for other candidates		I'm very outgoing
	I enjoy working with a group		I'm computer literate
	I like to write		I am available to help
	I am bilingual		Weekdays Nights Weekends

Additional Comments	Indicate any special information or additional comments.