Volunteer Registration

Name * First Last

Please begin by filling out your name, phone and email address so that we may contact you regarding your volunteer preferences.

Email

I am willing to help the campaign raise money

Yes No

I'm willing and able to make phone calls for the campaign...

from my home from the campaign office from either my home or the campaign office I don't want to make phone calls

If you are willing to make campaign phone calls, would you:

provide your own phone list to call (friends, family, colleagues) need us to provide you with a list

I'm willing to go door-to-door campaigning for Allen including (check all that apply):

knocking on doors and talking to people distributing material only my neighborhood only any neighborhood

I would like to walk with a team of supporters through targeted neighborhoods.

Yes No

I am willing to support Allen by (check all that aaply):

Organizing a brown bag at lunch where he could speak Hosting a small event at my home & invite people I know to meet him Recruiting my contacts to attend a campaign event Staffing a county fair or other event Serving as a surrogate speaker for smaller events Serving as a support person at a campaign event Writing personal letters of support to my contacts Sending personal emails of support to my contacts

I'd like to distribute lawn signs throughout my community.

Yes No

I would like to put up 4x8 highway signs.

Yes Yes, and I have a vehicle to haul the sign in No

Skills I can contribute are:

Legal Accounting HTML or Web Conversant Facebook, Twitter or other Social Networking Typing Project Management Event organizer Other (describe in the next section)

What OTHER skills are you willing to contribute to the campaign?

Affiliations:

Lawyer Veteran Law Enforcement official Teacher Hunter/Fisher Union Member Elected Official

Please mark all that apply to you.

If you are an Elected Official, please list your title here.

If you are an officer of a Not-for-Profit organization, please list your title and name of organization here.

Day of the week I am available to volunteer:

Monday Tuesday Wednesday Thursday Friday Saturday Sunday Everyday!

Please mark all that apply to you.

Times during the day that I am available to volunteer:

Before 9 a.m. 9 a.m. to Noon Noon to 3 p.m. 3 p.m. to 5 p.m. Evenings, after 5 p.m.

Please mark all that apply to you.

Number of hours per week that I am available to volunteer:

1-2 hours 3-5 hours 5-10 hours 10-20 hours 20-30 hours 30-40 hours Full time plus

Please mark all that apply to you.

Any thing else you might be willing to help with?

Wufoo