Year ________

Name:  _________________________________________________________

 

Address:  _______________________________________________________

 

City:  ____________________________    Zip:  ________________________

Home Tel:________________________________________    Work Tel: ____________________  

Fax:  ___________________________________________    E-mail:  ______________________

 

 

Precinct # _______                                                                     Congressional District # __________            

Senatorial District #                                                       Texas Representative District #   _______

 

INDICATE ALL ACTIVITIES YOU HAVE DONE THIS YEAR

(Hours should be included in your volunteer form)

 

________        Precinct Chair

________        State or County Party Official: (Position or appointment held)

_________       Local, State or National Campaign Management School attendance

_________       School Attended:

_________       POLL WATCHER*

_________       ELECTION JUDGE*

_________       Alternate Judge*

_________       Election Clerk*

_________       Election Official (Position)

_________       Precinct Convention Participant

_________       County/District Convention Delegate

_________       State Convention Delegate

_________       National Convention Delegate

 

CAMPAIGN WORK:

_________       Phone Bank Chairman

_________       Phone Bank (Caller, coordinator, etc

_________       Volunteer Coordinator: (Campaign, Phone, Headquarters, etc.) -

_________       Voter ID Phoning - Voter Registrar

_________       GOTV Participant

_________       Other:

 

* Indicates usual paid positions - do not count as volunteer unless check is given to the County Party, your local Federated Republican Women's Club, a Candidate or the TFRW PAC.