Request For Community Canvassing Support

The CCG Team will respond to your request within 48 hours.

Name of Organization*

County/Jurisdiction*

Date of Request*

Person Completing Form*

Email Address*

Telephone Number*

Phone

Canvassers Needed For

Select or enter value

Name of Event

Canvassers Will Be Deployed To Zip Codes(s)

Select or enter value

First Date Canvasser( s) Needed*

Please indicate the date you need the Canvassers.

Last Date Canvasser(s Needed*

Number of days you will need support.*

Number of Hours Per Day*

Language Requirement*

Select or enter value

Number of Canvassers Needed*

Comments:

Please provide any additional details you feel will help us process your request.

Send me a copy of my responses

Powered by