Women Speak Out - Georgia Canvassing Application
Fill out the following form if you would like to be a part of our life-saving operation in the critical Georgia runoff elections!
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Email address
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Your email
First Name
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Your answer
Last Name
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Your answer
Email
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Your answer
Cell Phone
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Your answer
Address
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Your answer
City
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Your answer
State
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Your answer
Zip
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Your answer
Are you passionate about canvassing to promote the pro-life cause?
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Yes
No
What is your birthdate? (MM/DD/YY)
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Your answer
This job requires that you have a smartphone with data coverage that is capable of downloading our app as well as the ability to travel to canvass within different parts of your region. Please click the box below to acknowledge that you meet these requirements.
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Yes I have a smartphone and the ability to travel
Required
This job requires a background check. Please click the box below to acknowledge that you consent to a background check.
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Yes I consent to a background check
Required
How did you hear about Women Speak Out?
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Email
Social Media
Text Message
Recruitment Flyer
Referred by a friend
Recruited by Suzanne Guy
Recruited by Evangeline
Recruited by Todd Darby
Recruited by Cathy Regan
Recruited by Lisa Askey
Other:
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