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Precinct Chair 
Infomation Form

Connecting Us to You

Here at HCDP, we value the connections we’ve built with our dedicated Precinct Chairs— and we want to build on those relationships! As we head into this upcoming election, we want to learn more about you, your interests, and how you’d like to get involved!

Contact Information

This information is for internal use only, so we can ensure we have the most accurate information for you!

Birthday
Month
Day
Year
What is your race?
What is your gender?
Man
Woman
Non-binary
Prefer not to say
Prefer to self-describe
Do you speak any laguage other than English?
Do you have experience with VAN (Voter Action Network)?
Yes, I am proficient
Yes, but I need a refresher
No, I have not logged in
Are you a candidate?
Yes
No
Are you any of the following? (Check all the apply)
How would you like to volunteer?
Would you like to be a lead volunteer for any of our outreach efforts?
Would you like to join a committee?
When is your general availability?
Are you able to do medium intensity physical tasks (e.g. moving boxes, working outdoors, setting up tables)*
Yes
No
Are you comfortable using a computer?*
Yes
No
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