Civic Engagement Campaign Volunteer Form

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Thank you for your interest in volunteering for Beth David's nonpartisan, civic engagement campaign. To sign up. please provide the information requested below. We welcome all congregation members of voting age -- or almost of voting age -- to sign up. There are lots of ways people can serve.

Have a question about this form or the campaign in general? Please contact Campaign Co-Chair Bill Madway at 610-322-5847 or wmmadway@gmail.com.

What is your email address? *

First Name *

Last Name *

In what county do you reside? *

If you selected "other" in the previous question, please type the name of your county below. Otherwise, skip to next question.

What town do you live in? *

What state to you live in? (two letter abbreviation) *

What is your zip code? (zip+4 not needed) *

Are you a student? *

High School Student

College Student

What phone number do you prefer to be called on? (10 digits: no dashes) *

Is the number above a mobile number? *

Yes

If the number above is NOT your mobile number, please type your mobile number below without the dashes. (If the number above is your mobile number or you would rather not provide your mobile number, please skip to the next question.)

Which of the activities below are you willing to do on behalf of Beth David's civic engagement campaign? (Check as many of the activities below as you would like.) *

Periodically call or text a group of about 15 Beth David families assigned to you to update them about the election and encourage them to vote.

Meet or speak with election officials in your county to urge them to take steps to make sure voting is safe, secure, and accessible to all this fall.

Reach out to Beth David members who are of high school- or college-age to encourage them to register and vote.

Call or text infrequent voters in other parts of Pennsylvania to encourage them to vote and provide them with important election-related info.

Call or text infrequent voters in other states to urge them to vote and provide them with important election-related info.

Write postcards to registered voters in PA and other states urging them to vote.

Reach out to Beth David members who need assistance registering to vote, voting by mail, or voting at the polls.

Serve at a polling place on Election Day to help administer the election -- provided suitable COVID-19 protection measures are in place.

Required

in the space below, please type any other nonpartisan, voting-related tasks you'd be willing to undertake in support of Beth David's civic engagement campaign.

If you would like to share any comments, questions, or suggestions about this form or the civic engagement campaign in general, please type them in the space below.

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