Asian American Legal Defense and Education Fund FORM SECTION
 phone 212-966-5932 fax 212-966-4303  Send email to
Asian American Election Protection Volunteer Sign-Up Form
Red * indicates required field
 * First Name:
 * Last Name:  
 Address Type:
If work address, you must fill in next 2 lines.
 * Name of Company/Organization:
 * Street Address:
 * City/Town:  
 * State/Province:  
 * Postal/ZIP Code:
 * Email Address:
 Alternative Email Address:
 * Phone: Day Time - -  
 * Phone: Evening Time - -  
 * Please select any affiliations you belong to:
  Other  APALSA? 

(Note: For affiliations NOT in any of the above dropdown menus, you MUST select from one of the dropdown menus "*Other" before entering your affiliation into this box.)

* Are you?  
  * Do you have access to a car?

 * What, if any, Asian language(s)/dialect(s) do you speak? (check all that apply)

  Are you a past Volunteer?
Yes What year?
 If you are partnering with another
volunteer please enter his/her name.

 * Where do you most prefer to be stationed? (Rank 1, 2, 3, etc.)
NJ - Edison NJ - Fort Lee NJ - Jersey City
NJ - Palisades Park NJ - Tenafly NY - Brooklyn: Kensington
NY - Brooklyn: Midwood NY - Brooklyn: Sunset Park NY - Manhattan: Chinatown
NY - Queens: Elmhurst NY - Queens: Floral Park NY - Queens: Flushing
NY - Queens: Jackson Heights NY - Queens: Jamaica NY - Queens: Richmond Hill
VA - Annandale VA - Arlington VA - Centreville
VA - Chesterfield VA - Falls Church VA - Henrico

* On election day, when are you available to volunteer? (Rank 1, 2, 3, etc.)
7:00 AM - 9:00 AM 3:00 PM - 6:00 PM 9:00 PM - 12:00 AM (NYC only)
9:00 AM - 12:00 PM 6:00 PM - 9:00 PM 5:00 PM - 7:00 PM (VA only)
12:00 PM - 3:00 PM

Not sure yet Willing to do multiple shifts.

 * Which 1 hour training would you prefer to attend?

  When can you assist with follow up after Election Day? (at AALDEF office in NYC)
Week of Election Day:
Weekend of Election Day:
Week after Election Day:
Weekend after Election Day:
Not sure yet

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