Wufoo

Name * First Last
Email Personal *
Email Work
Phone Number - Cell * ### - ### - ####
Phone Number - Other Daytime ### - ### - ####
Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Voting Precinct (if known)
Employment Status
Employed Self-employed Retired Unemployed
What is your current job (i.e. police officer, librarian, IT tech - we do not need to know your employer!)
Interests and skills

By giving us as much information as possible on your interests and skills, we will attempt to match you to the best possible volunteer opportunity.
Skills (select all that apply) *
Office skills (filing, office management, organization, planning) Computer use skills (experience with software such as Word, Excel, Powerpoint, direct email systems, etc.) Public speaking Medical Catering, food preparation Communications (writing, reporting, social media) Photography Data analysis Customer/Donor Relationship Management Financial (bookkeeping, budgeting, CPA) Event planning/management Human Resources Technology (IT support HW/SW, website design/development/management) Graphic design Multilingual
Other skills not listed above
Add detail to skills listed above, such as languages spoken, etc.
Interests (select all that apply)
Phone Banking for a candidate Canvasssing for a candidate Registering voters Assisting in the office Reporting on events, issues for GCDP blog Participating in rallies Running for political office Serving on local boards/commissions Working on a candidate’s campaign Get out the vote Researching issues for GCDP Young Democrats High School Young Democrats Democratic Women
Issues and Availability

**Issues that are most important to you** *
	Somewhat important	Important	Extremely important	This is my #1 issue (select only one)
Healthcare	1	2	3	4
Gun Control	1	2	3	4
Immigration	1	2	3	4
Controlling the deficit	1	2	3	4
Jobs and income	1	2	3	4
Gender equality	1	2	3	4
Reproductive Rights	1	2	3	4
Protecting Social Security and Medicare	1	2	3	4
Crime in our communities	1	2	3	4
Public transportation network	1	2	3	4
Infrastructure	1	2	3	4
Energy	1	2	3	4
Environment	1	2	3	4
Education	1	2	3	4

Other issues not mentioned above

**Availability to volunteer** *
	Rarely	Sometimes	Most of the time	Best time (select only one)
All day	1	2	3	4
Mornings	1	2	3	4
Lunchtime	1	2	3	4
Evenings	1	2	3	4
Saturday	1	2	3	4
Sunday	1	2	3	4

Have you volunteered with GCDP or a Democratic candidate before? *
Yes No
Briefly describe your past volunteer activities
Please list other political, civic or activist groups you may be involved with (Huddle, Indivisible, From the Ground Up, Upstate Coalition, Young Dems, Dem Women, League of Women Voters, etc.)
Would you like to be added to the GCDP Newsletter list? *
Yes No
Have you volunteered with GCDP in the past?
Yes No Not sure; I might have
Are you interested in learning about precinct leadership?
Yes No Not at this time
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Wufoo

Interests and skills

Issues and Availability