DCDEC Membership Application
Once you have completed the application, please send an email to the Credentials Chair, Velma Rounsville at vrounsville@gmail.com to request a meeting with the Credentials Committee.
First Name *
Your answer
Last Name *
Your answer
Address *
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Phone *
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Email *
Your answer
Voter ID#
Your answer
Date of Birth
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YYYY
Precinct #
Your answer
The following information is voluntary and is collected to help meet our affirmative action goals. Please check all that apply.
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