Interest in joining the county committee
What is your first name?
Your answer
What is your last name?
Your answer
Are you a registered Democrat
Are you 18 or older?
Please kindly provide us with a phone number we can contact you at.
Your answer
Please kindly provide us with your address of residence including your zip code (no P.O. Boxes)
Your answer
Please kindly provide us with your mailing address if this address is different from your address of residence.
Your answer
Please kindly provide us with your email address
Your answer
Do you know what congressional district you live in? If so, write the number here
Your answer
Are you willing to take on a leadership role by being a member of the county committee? We want as many people as possible who are willing to form relationships with the communities around them.
Do you have any interest in running for District Leader as well? (Please keep in mind that candidates for this position will be more thoroughly vetted as it involves greater responsibilities to your community and a significantly larger amount of signatures on the petition).
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