Get Out The Vote Event Registration

Southfield Alumnae Chapter | Delta Sigma Theta Sorority, Incorporated

Name Name First Last
Age
Email Address
Phone Phone - ### - ### ####
Are you a member of the Southfield Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated?

Are you a member of the Southfield Alumnae Chapter of Delta Sigma Theta Sorority, Incorporated? Yes No
I am a Registered voter

I am a Registered voter Yes No Not Sure
Which activity would you like to participate in?

Which activity would you like to participate in? Poll Monitor Training Community Literature Drop I’m open to either
If participating in Poll Monitor Training, will you serve as a Poll Monitor on Election Day, November 3?

If participating in Poll Monitor Training, will you serve as a Poll Monitor on Election Day, November 3? Yes Maybe No
If participating in the Community Literature Drop, are you able to walk outdoors for approximately one hour?

If participating in the Community Literature Drop, are you able to walk outdoors for approximately one hour? Yes No I may need an accommodation
Why would you like to participate in this event?
Do you have any dietary restrictions or accessibility needs we should know about?
Anything else you’d like us to know?