Title*:
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Full Name*:
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Address*:
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City*:
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State*:
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Zipcode*:
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Telephone*:
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Evening Telephone*:
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Email*:
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Fax:
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Relevant work and volunteer experience:
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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):
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Hobbies and special interests:
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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*:
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Per*:
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I can start *:
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Best Days*:
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Preferred Time of Day*:
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I prefer to work: At UAP locationsAt homeOn-line/via e-mailNo Preference
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I have my own means of transportation:
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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.
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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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