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LAWYERS FOR OBAMA


and


THE NEW YORK DEMOCRATIC LAWYERS COUNCIL


(a project of the Democratic National Committee and the New York State Democratic Committee)


welcome you to


JOIN THE OBAMA 2008 VOTER PROTECTION EFFORT



Everyone interested in protecting the right to vote in America is welcome to join our election monitoring efforts -- just fill out the form below. If you have any questions, please contact us at membership@nydlc.org.

If you are already an NYDLC Member, please do not fill in this form. Instead, please Login in the left hand column using your personal Username and Password. If you wish to change any of your information on file, please then click on Update My Info in the Member Navigation Bar at the top of the center column.


(* means Required Field)

* You Must Enter At Least One Phone Number -- Home, Cell, or Office.

If you have a Cell Phone Number please list it, since it is critical to our election monitoring effort.

Please try to fill in as many fields below as you can, even if the fields are not listed with a red * or a blue * indicating that they are required fields.


Personal Information:

* First Name:
Middle:
* Last Name:
* Home Address 1:
Home Address 2:
* City:
* State:
* Zip Code:
Zip Code Suffix:
* Home County :
* Email Address:
* Please Confirm Your Email Address:
* Home Phone, with Area Code: - -
* Cell Phone: - -
Home Fax, with Area Code: - -
* Please Select A UserName:
* Please Select A Password:
* Please Confirm Your Password:

* Please Let Us Know How You Learned About The NYDLC and provide us with any other relevant information you would like to share with us



Employer Information, If Applicable:

* Employer Name (or School Name if student, or None if applicable):
Office Address 1:
Office Address 2:
City:
State:
Zip Code:
Office Zip Code Suffix:
Office Email:
* Office Phone, with Area Code: - -
Office Fax, with Area Code: - -

* Please Select The County Within The State In Which You Are Registered To Vote (Or, If Applicable, "None")




Election Monitoring Information:


Please Select All Places To Which You Can Travel On Election Day

I can travel to other States where I am needed:  

NOTE: A minimum commitment of 4 days is necessary if you wish to monitor in another State.

Any County in New York where I am needed:  

I can travel to the following Counties within New York State:

New York City

  Bronx  Kings (Brooklyn)  New York (Manhattan)  Queens  Richmond (Staten Island)

Long Island

  Nassau  Suffolk

Westchester/Lower Hudson Valley

  Dutchess  Orange  Putnam  Rockland  Westchester

Capital Region

  Albany  Columbia  Delaware  Fulton  Greene
  Montgomery  Otsego  Rensselaer  Saratoga  Schenectady
  Schoharie  Ulster  Washington

Western New York

  Allegany  Cattaraugus  Chautauqua  Erie  Genesee
  Livingston  Monroe  Niagara  Orleans  Wyoming

Finger Lakes Region

  Broome  Cayuga  Chemung  Madison  Ontario
  Schuyler  Seneca  Steuben  Tioga  Tompkins
  Wayne  Yates

Central New York

  Chenango  Cortland  Herkimer  Oneida  Onondaga
  Oswego  Sullivan

Northern New York

  Clinton  Essex  Franklin  Hamilton  Jefferson
  Lewis  St. Lawrence  Warren

Please Select The Shifts That You Are Available

  5:45am--9:30am
  9:30am--1:30pm
  1:30pm--5:30pm
  5:30pm--9:30pm



How much time prior to and through Election Day can you devote to the Election Monitoring Effort?

Election Day Only
4 Days (Saturday through Tuesday)
1 week
2 weeks
3 weeks
4 weeks


Will you have use of a car on election day?
   Yes        No

Have you ever been an Election Inspector or Poll Worker?
  Yes        No

If yes, please indicate where and when:


Do you have prior experience monitoring elections?
  Yes        No

If yes, please indicate where and when:


Do you have prior experience volunteering or working on a political campaign?
   Yes        No

If yes, please indicate where and when:


Do you speak a foreign language?
Yes        No

If you speak any foreign languages, please indicate them below:

  Spanish
  Mandarin
  Cantonese
  Korean
  French/Creole

Other (please describe)


For Attorneys And Law Students Only:

Law School:
(Expected) Graduation Date:
Bar Admission 1:
Bar Admission 2:
Bar Admission 3:


Please Press The Submit Button Below To Join!