Precinct Organizer Application What is a Precinct Organizer? Find your precinct Name(Required) First Last Phone(Required)Date of Birth(Required) MM slash DD slash YYYY Email(Required) Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State Zip Code Your Precinct(Required)HiddenYour Role (Form Submitter) Prospective Precinct Leader At Large Current Precinct leader Reapplying for Precinct Leader in 9409 (6046) This is a test submission to see how this form works along with the workflow associated with it. DEC (appointed) and DEC Rules Committee (working for Bill Steigman) Parliamentarian prospective DEC member Felonice - Communications Committee Zone Leader This is a test How long have you been a registered Democrat? Why do you want to be involved in the PBC Democratic Party? Are you involved in other relevant organizations? If no, put N/A. If yes, please list. What are your areas of political interest? Do you know what is expected of a precinct leader? Yes No If you checked any of the above, please elaborate here: Can you commit at least 5 hours of your time a month? Yes Maybe No Can you donate a monthly sum (starting as low as $10/month) to the DEC? Maybe Yes No Do you have any of the following experience? Current member of a Democratic Club or Caucus Volunteered with a campaign Involved in the Democratic Party in other places 40135
