2022 Canvassing Sign-Up

2022 Canvassing Sign-Up

First Name*

Last Name*

Email*

Cell Phone Number

Grassroots Affiliation

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COVID Vaccination Status*

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Spanish Speaker

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Canvass Date*

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Transportation

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Your Neighborhood

Number of Riders

Canvassing Experience

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miniVAN Experience

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Canvass Partner?

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Name of Canvass Partner

Questions/Comments

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