HD11 Volunteer Interest Form

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Thank you for your interest in helping us with the HD11 Democratic Nominating Caucus! The caucus will be held TUESDAY DECEMBER 16TH, from 7 AM to 7 PM. You can learn more about the caucus at http://hd11votes.com/. Once you fill out this form, you will be contacted by the Director of the voting site where you have been placed and given your volunteer assignment. There will be a video training that you will need to review and a Zoom session on Monday December 15th at 7 pm to ask any questions you may have.

Name

Contact Phone

Is this a mobile phone or landline?

Mobile

Landline

Other:

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Contact Email

Please choose your first preference for location.

Fairfax County Government Center, 12000 Government Center Parkway, Fairfax, VA, 22035

Jim Scott Community Center, 3001 Vaden Dr, Fairfax, VA 22031

Fairfax Presbyterian Church, 10723 Main Street, Fairfax, VA 22030

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Please choose your second preference for location

Fairfax County Government Center, 12000 Government Center Parkway, Fairfax, VA, 22035

Jim Scott Community Center, 3001 Vaden Dr, Fairfax, VA 22031

Fairfax Presbyterian Church, 10723 Main Street, Fairfax, VA 22030

Clear selection

Please indicate the times you are available to work based on the choices below.

6:30 AM to 9 AM

9 AM to 12 PM

12 PM to 3 PM

3 PM to 6 PM

6 PM to FINAL VOTE COUNT COMPLETED

Submit

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