Asian American Legal Defense and Education Fund FORM SECTION
phone 212-966-5932 fax 212-966-4303 Send email to info@aaldef.org
 
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:
 * 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)
 
  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.)
CA - San Diego DC - Chinatown DC - Columbia Heights
FL - Miami FL - Orlando GA - Doraville
GA - Duluth GA - Norcross GA - Suwanee
IL - Evanston IL - Glenview IL - Northbrook
IL - Skokie LA - New Orleans/Eastbank MA - Boston: Chinatown
MA - Dorchester MA - Lowell MA - Quincy
MD - Rockville MD - Silver Spring MI - Ann Arbor
MI - Canton MI - Dearborn MI - Detroit
MI - Hamtramck MI - Kentwood (West MI) MI - Novi
MI - Troy NJ - E. Brunswick NJ - Edison
NJ - Fort Lee NJ - Jersey City NJ - Palisades Park
NJ - Tenafly NV - Las Vegas/Spring Valley 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
PA - Bensalem PA - Chinatown PA - Olney
PA - South Philadelphia PA - Upper Darby TX - Houston/Alief
TX - New Territory TX - North Sugar Land TX - NW Sugar Land
VA - Annandale VA - Arlington VA - Centreville
VA - Chesterfield Co. VA - Falls Church VA - Henrico Co.
Other

* On election day, when are you available to volunteer? (Rank 1, 2, 3, etc.)
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.
 

 * 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:
Wed.
Thurs.
Fri.
Weekend of Election Day:
Sat.
Sun.
Week after Election Day:
Mon.
Tues.
Wed.
Thurs.
Fri.
Weekend after Election Day:
Sat.
Sun.
Not sure yet
 
   
 
 


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