Email (required)

Precinct Captain
N/Anoyes
Are you interested in becoming a Precinct Captain?

First Name (required)

Last Name (required)

Street Address

City

State

Zip (required)

Preferred Phone (required)

Alternate Phone

Company

Enter company name or "none".

Job Title

Enter "self-employed", "student", "retired", or "not currently working" if any of these apply.

Student
I am a student

Activities
Phone BankingVoter RegistrationPrecinct WalkingCommunicationsFundraisingGraphic DesignEvent PlanningVolunteer RecruitmentTablingLetter WritingOffice WorkGet-Out-the-Vote Activities (GOTV)Other ( Add to Comments )

Languages
SpanishMandarin/CantoneseTagalogVietnameseFarsiArabicHindiTelegu/TamilOther ( Add to Comments )

Any Comments

Comments (Special Skills or interests, other languages, additional information):

Add me to the SCCDP "Action Update" list.