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.)
CA: San Diego CA: San Jose FL: Miami-Dade
GA: Doraville GA: Duluth GA: Norcross
GA: Suwanee LA: New Orleans/Eastbank MA: Chinatown
MA: Dorchester MA: Lowell MA: Malden
MA: Quincy MD: Rockville MD: Silver Spring
MI: Ann Arbor MI: Canton MI: Dearborn
MI: Detroit MI: Gaines MI: Hamtramck
MI: Novi MI: Troy NJ: East Brunswick
NJ: Edison NJ: Fort Lee NJ: Jersey City
NJ: Palisades Park NJ: Tenafly NM: Albuquerque
NV: Las Vegas/Spring Valley NY: Brooklyn - Kensington NY: Brooklyn - Midwood
NY: Brooklyn - Sunset Park NY: Manhattan - Chinatown NY: Queens - Bayside
NY: Queens - Elmhurst NY: Queens - Floral Park NY: Queens - Flushing
NY: Queens - Jackson Heights NY: Queens - Jamaica NY: Queens - Richmond Hill
NY: Queens - Woodside PA: Bensalem PA: Bucks
PA: Chinatown PA: Olney PA: South Philadelphia
PA: Upper Darby TX: Austin TX: Dallas/Ft. Worth
TX: Houston/Alief TX: N Sugar Land TX: New Territory
TX: NW Sugar Land VA: Annandale VA: Arlington
VA: Centreville VA: Chesterfield VA: Falls Church
VA: Henrico Washington, DC: Chinatown Washington, DC: Columbia Heights

* 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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