Democratic Party of Virginia | Voter Protection

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

Country:

Email: *

First Name: *

Last Name: *

Address: *

City: *

State/Region/Province: *

Zip / Postal Code: *

Cell Phone: *

Please confirm E-mail: *

Are you a law student?: *

In what state are you a member of the bar?: *

Number of years as a member of the bar: *

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?: *

Do you speak any languages other than English?: *

Are you available for more than 10 hours/week during the summer and fall?: *

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?: *

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

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