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Sign Up To Be A Block Captain
This is a survey for people who wish to become block captains. Please fill it out so we can get you the information you need to get started canvassing.

Block captains will work with a group of voters in their immediate area or, if they choose, a low-turnout area that's not in their neighborhood. The goal is to increase voter participation in the next election, but also over the long-haul.

After you fill out this form, we'll get you a voter list and materials to begin engaging your neighbors. Everyone will have a voter list emailed to them, with regular updates of who on their list has voted early.

If you select the option of using to use an app on your smart-phone to get your list and canvass, you will also receive an invite within the next day or so from a service called "Smart Van." Please be on the lookout for the email and "accept an invitation" when it comes.
Email address *
First name *
Last Name *
What is the home address where you are registered to vote (please include city, state, and zip)? *
What is a good phone number for you? *
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