Organizing for America

Please provide detailed information to get involved
in the Voter Protection Program

Email: *

First Name: *

Last Name: *

Address Where Registered: *

City: *

State/Region/Province: *

Zip / Postal Code: *

Cell Phone: *

County: *

Would you be willing to serve as an official election worker for the county or city?:

Yes

Are you a law student?:

In what state(s) are you a member of the bar?

State 1:

Number of years as a member of the bar in state 1 :

State 2:

Number of years as a member of the bar in state 2 :

State 3:

Number of years as a member of the bar in state 3:

Are you willing to do:

  Voter Protection for Early Vote on October 25th?
  Voter Protection for Early Vote on November 1st?
  Voter Protection for Early Vote on November 2nd?
  Voter Protection on other dates before Election Day?
  Get Out The Vote work before Election Day?

Are you able to work Election Day?:

Are you able to work for 3-4 days before Election Day?:

Will you have access to a car?:

Are you willing to travel around election day?:

Can you travel more than two hours from your home for Election Day?:

Do you speak any languages other than English?:

Are you available for more than 10 hours/week during the September and October?:

Have you done election protection work before?:

Have you done campaign field work before?:

Have you ever served as a credentialed poll watcher in your county? :

Please upload your Resume (optional):

Any additional Notes/Comments (e.g., special qualifications, communities in which you have a particular interest, etc.):

* denotes required field

Please provide detailed information to get involved in the Voter Protection Program

Please provide detailed information to get involved
in the Voter Protection Program