FORM SECTION
Asian American Election Protection Volunteer Sign-Up Form
Red * indicates required field
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First Name:
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Last Name:
Address Type:
If work address, you must fill in next 2 lines.
Work
Home
School
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Name of Company/Organization:
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Street Address:
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City/Town:
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State/Province:
--- Select State ---
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Island
Virginia
Washington
West Virginia
Wisconsin
Wyoming
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Postal/ZIP Code:
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Email Address:
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Phone: Day Time
-
-
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Phone: Evening Time
-
-
Please select any affiliations you belong to:
--- Select National Co-Sponsor ---
Asian Pacific Islander American (APIA) Vote!
Lawyers Committee for Civil Rights
National Asian Pacific American Bar Association (NAPABA)
Organization of Chinese Americans (OCA)
South Asian Americans Leading Together (SAALT)
--- Select Local Co-Sponsor ---
GA - Asian American Legal Advocacy Center of Georgia
GA - Center for Pan Asian Community Services
GA - Georgia Asian Pacific American Bar Association
GA - OCA Georgia Chapter
MA - Asian American Lawyers Association of Massachusetts
MA - Asian Community Development Corporation
MA - Chinese Progressive Association
MA - Mass Vote
MA - Outreach Unit, Greater Boston Legal Services
NY - Asian American Bar Association of New York
NY - Asian American Studies Program – Hunter College
NY - Chhaya CDC
NY - Filipino American Human Services, Inc.
NY - Filipino American Legal Defense and Education Fund
NY - Korean American Voters’ Council
NY - MinKwon Center
NY - Muslim Bar Association of New York
NY - National Federation of Filipino American Associations- Region One
NY - SEVA
NY - South Asian Bar Association of New York
NY - South Asian Youth Action
PA - Asian Pacific American Bar Association of Pennsylvania
PA - Asian Pacific American Law Student Association at UPenn Law
PA - OCA Greater Philadelphia Chapter
PA - Philadelphia Chinatown Development Corporation
--- Select Law Firm ---
**Note: If you have inputted a work address, please select your law firm or input your company name in the "other" box.
Bingham McCutchen LLP
Cadwalader, Wickersham and Taft
Chadbourne & Parke LLP
Cravath, Swaine & Moore LLP
Debevoise & Plimpton LLP
Dewey & LeBoeuf LLP
Dickenson Wright PLLC
Finnegan, Henderson, Farabow, Garrett & Dunner, LLP
Fulbright & Jaworski
K&L Gates LLP
Kramer Levin Naftalis & Frankel LLP
McDermott Will & Emery LLP
Morgan, Lewis & Bockius LLP
Orrick, Herrington & Sutcliffe LLP
Paul, Weiss, Rifkind, Wharton & Garrison LLP
Pepper Hamilton LLP
Reed Smith LLP
Ropes & Gray LLP
Schulte Roth & Zabel LLP
Seyfarth Shaw LLP
Shearman & Sterling LLP
Simpson, Thatcher & Bartlett LLP
Skadden, Arps, Slate, Meagher & Flom LLP
Sonnenschein Nath & Rosenthal LLP
Stroock, Stroock & Lavan
Weil, Gotshal & Manges LLP
White & Case LLP
--- Select School ---
MA - Boston University School of Law
MA - Harvard University
MA - Northeastern School of Law
NY - Brooklyn Law School
NY - Columbia Law School
Other
APALSA?
*
Are you?
--- Select One ---
Community Volunteer
Attorney
Graduate Student
Undergraduate Students
High School Volunteer
Law Student
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Do you have access to a car?
Yes
No
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What, if any, Asian language(s)/dialect(s) do you speak? (check all that apply)
Bengali
Cantonese
Gujarati
Hindi
Japanese
Khmer
Korean
Malayalam
Mandarin
None
Other
Punjabi
Tagalog
Urdu
Vietnamese
Other:
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.)
Wherever most needed in my area
Check if prefer not to rank
GA - Doraville
GA - Duluth
GA - Norcross
GA - Suwanee
MA - Boston
MA - Dorchester
MA - Lowell
MA - Quincy
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 Hills
PA - Chinatown
PA - Upper Darby
TX
Other
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On election day, when are you available to volunteer? (Rank 1, 2, 3, etc.)
Check if prefer not to rank
6:00 AM - 9:00 AM
12:00 PM - 3:00 PM
6:00 PM - 9:00 PM
9:00 AM - 12:00 PM
3:00 PM - 6:00 PM
9:00 PM - 12:00 AM
Not sure yet
Willing to do multiple shifts
Willing to work all day
.
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Which 1 hour training would you prefer to attend?
--- Select One ---
- - - ATLANTA, GA - Thursday, October 14, 2010 (Pick ONE of the two below) - - -
12N – Sutherland Asbill & Brennan LLP, 999 Peachtree St NE, At Juniper St, Midtown
6PM – Sutherland Asbill & Brennan LLP, 999 Peachtree St NE, At Juniper St, Midtown
- - - BOSTON, MA - Monday, October 18, 2010 (Pick ONE of the two below) - - -
12N – Ropes & Gray LLP, Prudential Tower, 800 Boylston Street
6PM – Bingham McCutchen LLP, 1 Federal St., between Franklin and Milk Strs.
- - - PHILADELPHIA, PA - Tuesday, Oct. 12, 2010 (Pick ONE of the two below) - - -
12N – DLA Piper, One Liberty Place 1650 Market Street, Suite 4900, between 16th and 17th Streets
5PM – U.Penn Law School, 3400 Chestnut, enter at Sansom St.
- - - NEW YORK, NY (Pick ONE of the five below) - - -
Thurs., Oct. 21, 2010 - 12 Noon - Shearman & Sterling LLP, 599 Lexington Avenue at 53rd St.
Thurs., Oct. 21, 2010 - 6PM - Weil Gotshal & Manges LLP, 767 Fifth Ave. at 59th St.
Wed., Oct. 27, 2010 - 6:30PM - White & Case LLP, 1155 Avenue of the Americas, btw 44th & 45th Strs.
Wed., Oct. 27, 2010 - 10:30AM - Hunter College (Prof. Glenn Magpantay's class only)
Wed, Oct. 20, 2010 - 7PM - Columbia University, Location: Lerner 502 (CUID Only)
Tues., Oct. 19, 2010 - 8PM - Boston College (BC Students only) Cushing 001
FORMER VOLUNTEER (NO TRAINING REQUIRED)
Wed, Oct. 20, 2010 - 1:30PM - Columbia Law School (Closed Training)
Thurs., Oct. 21, 2010 - 6:30PM - Swarthmore College (Swarthmore Students only)
Thurs., Oct. 13, 2010 - FAHSI (closed training)
Thurs., Oct. 13, 2010 - Hunter College (Prof. Mitchel Wu's class only)
Sat., Oct. 16, 2010 - SAYA (closed training)
Tues., Oct. 19, 2010 - 8PM - Boston College (closed training)
Makeup Training: Saturday 10/30 12N EST Teleconference
Fri., Oct. 22, 2010 - Hunter College (Prof. Prateeti Ballal's class only)
Fri., Oct. 22, 2010 - Minkwon
10/21 - Swarthmore
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Are you seeking CLE credit? (Attorneys ONLY - Trainings are 90 minutes)
Yes
No
When can you assist with follow up after Election Day? (at AALDEF office in NYC)
Week of Election Day:
Wed.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Thurs.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Fri.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Weekend of Election Day:
Sat.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Sun.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Week after Election Day:
Mon.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Tues.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Wed.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Thurs.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Fri.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Weekend after Election Day:
Sat.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Sun.
12N - 3:00PM
3:00PM - 6:00PM
6:00PM - 9:00PM
Other
Not sure yet
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