Nader 2004 Presidential Exploratory Committee

Volunteer

Items marked like this (*) are required. Please review the entire form and click on "Volunteer" at the bottom to share your information.

Identification Information

* Title:
* First Name:
* Last Name:
* Street Address:
* City:
* State: (abbreviation)
* Zip/Postal Code:

Work phone:

* Home Phone:
Cell Phone:
Email address:

Occupation:

Local Issues

What are the top three (3) local issues you are concerned about?

Organizing Experience

Check the boxes next to the areas you have had any experience in:

Attended a political rally
Community Organizing
Door-to-Door Canvassing
Fundraising
Get Out The Vote Efforts/Voter Registration
Political Party Experience
Petitioning
Graphic Design
Making Phone Calls
Media Relations
Research
Web Design
Web Programming

Work Preferences

What kind of work do you enjoy?

Office work Field work Both

What type of office work?

Phones, Personal Interaction Filing, Mailing, Data entry Other

What type of field work?

Canvassing, Flyering Organizing, attending group meetings Other

If you have other "social" organizing experience (e.g. gardening clubs, book clubs, block parties) then please explain in detail:

Time Committment

How many hours could you commit, and at what frequency?

Hours:
Daily:
Weekly:
Monthly:

What times of day and the week are good for you?

Days:
Evenings:
Weekends:

Other Resources

Potential In-Kind Contributions, Advice and Community Knowledge.

Do you have a dependable vehicle?

Yes:
No:

If so, tell us what kind:

Do you know of possible local resources that could be used?

Local Print Shops
Graphic Artist
Donate Food
Relatives
Places for Meetings
Local Media Contact(s)
Housing
Friends
Places for Phone Banks
Admin of Local Email Lists
Access to Office Space
Co-Workers
Web Design
Equipment
Computers
Neighbors

Final Notes:

Briefly share any final notes in regards to the information you have supplied or your interest.

Please review the information you have provided and ensure that it is correct.