Title*: |
Full Name*: |
Address*: |
City*: |
State*: |
Zipcode*: |
Telephone*: |
Evening Telephone*: |
Email*: |
Fax: |
Relevant work and volunteer experience: |
I have the following skills that I can share (e.g., writing, speaking, community organizing, media/PR, administrative, fund-raising/grant writing skills; fluency in foreign languages):
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I know the following people who could be useful contacts for Unite America Party (e.g., elected representatives and officials on federal, state, and local levels; organizational, religious, business and labor leaders; contacts in academia and the media): |
Hobbies and special interests: |
If I had all the money, time and energy I needed, I would: |
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Time available to volunteer for Unite America Party
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No. of hours*: |
Per*: |
I can start *: |
Best Days*: |
Preferred Time of Day*: |
I prefer to work: At UAP locationsAt homeOn-line/via e-mailNo Preference |
I have my own means of transportation: |
YesNo |
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Unite America Party's Organizational Needs (please check where you would like to help)
Select topics for each category where you have an interest. |
Educational |
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UAP Publications and Website |
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Public Relations |
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Fundraising and Membership |
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Office Administration |
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Miscellaneous |
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Other ways I would like to help Unite America Party:
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Enter This Code: |
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