Asian American Legal Defense and Education Fund FORM SECTION
 phone 212-966-5932 fax 212-966-4303  Send email to
Asian American Election Protection Volunteer Sign-Up Form
Red * indicates required field
 * First Name:
 * Last Name:  
 Address Type:
If work address, you must fill in next 2 lines.
 * Name of Company/Organization:
 * Street Address:
 * City/Town:  
 * State/Province:  
 * Postal/ZIP Code:
 * Email Address:
 Alternative Email Address:
 * Phone: Day Time - -  
 * Phone: Evening Time - -  
 * Please select any affiliations you belong to:
  Other  APALSA? 

(Note: For affiliations NOT in any of the above dropdown menus, you MUST select from one of the dropdown menus "*Other" before entering your affiliation into this box.)

* Are you?  
  * Do you have access to a car?  

 * What, if any, Asian language(s)/dialect(s) do you speak? (check all that apply)


  Are you a past Volunteer?
Yes What year?
 If you are partnering with another
volunteer please enter his/her name.

 * Where do you most prefer to be stationed? (Rank 1, 2, 3, etc.)
CA: San Diego CA: San Jose FL: Miami-Dade
GA: Doraville GA: Duluth GA: Norcross
GA: Suwanee LA: New Orleans/Eastbank MA: Chinatown (Choose backups)
MA: Dorchester MA: Lowell MA: Malden
MA: Quincy MD: Rockville MD: Silver Spring
MI: Ann Arbor MI: Canton MI: Dearborn
MI: Detroit MI: Gaines MI: Hamtramck
MI: Novi MI: Troy NJ: Closter
NJ: Demarest NJ: East Brunswick NJ: Edison
NJ: Fort Lee NJ: Jersey City NJ: Norwood
NJ: Old Tappan NJ: Palisades Park NJ: Tenafly
NM: Albuquerque NV: Las Vegas/Spring Valley NY: Brooklyn - Kensington
NY: Brooklyn - Midwood NY: Brooklyn - Sunset Park NY: Manhattan - Chinatown (Choose backups)
NY: Queens - Astoria NY: Queens - Bayside NY: Queens - Elmhurst
NY: Queens - Floral Park NY: Queens - Flushing NY: Queens - Glen Oaks
NY: Queens - Jackson Heights NY: Queens - Jamaica Hills NY: Queens - Ozone Park
NY: Queens - Richmond Hill NY: Queens - Sunnyside NY: Queens - Woodside
PA: Bensalem PA: Bucks PA: Olney
PA: Philadelphia - Chinatown PA: South Philadelphia PA: Upper Darby
TX: Austin TX: Dallas/Ft. Worth TX: Houston/Alief
TX: N Sugar Land TX: New Territory TX: NW Sugar Land
VA: Annandale VA: Arlington VA: Centreville
VA: Chesterfield VA: Falls Church VA: Henrico
Washington, DC: Chinatown Washington, DC: Columbia Heights

* On election day, when are you available to volunteer? (Rank 1, 2, 3, etc.)
7:00 AM - 9:00 AM 3:00 PM - 6:00 PM 9:00 PM - 12:00 AM (NYC only)
9:00 AM - 12:00 PM 6:00 PM - 9:00 PM 5:00 PM - 7:00 PM (VA only)
12:00 PM - 3:00 PM

Not sure yet Willing to do multiple shifts.

 * Which 1 hour training would you prefer to attend?

  When can you assist with follow up after Election Day? (at AALDEF office in NYC)
Week of Election Day:
Weekend of Election Day:
Week after Election Day:
Weekend after Election Day:
Not sure yet
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