REQUEST TO BE AN APPOINTED PC IN LD26

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

THIS FORM WILL BE USED BY CHAIR AND 1ST VICE CHAIR TO SUBMIT YOUR REQUEST TO BE APPOINTED AS A PC IN YOUR PRECINCT - PLEASE USE ALL CAPS (REQUIRED BY COUNTY ELECTIONS)

Requirements to become a Democratic PC
- Must reside in the Legislative District where you are applying
- Must be a registered voter in Maricopa County
- Political Party Designation must be "Democrat"

Responsibilities of a Democratic PC
- Stay informed about local/national issues and candidates
- Be an advocate for voter registration and voting rights
- Build relationships with Democrats in your precinct
- Educate voters in your precinct about the Democratic Party, its nominees, and issues
- Attend legislative district monthly meetings
- Attend MCDP & ADP Meetings

USE ALL CAPITAL LETTERS FOR ALL TEXT THAT YOU TYPE.

Learn more at https://www.azld26dems.org/become-a-pc

To check your voter registration or make changes go to www.beballotready.vote

Email *

ARE YOU A REGISTERED DEMOCRATIC VOTER? *

A picture of your Voter ID card may be required for verification.

YES

PRECINCT NUMBER

Precinct Name

You can find your Precinct at https://recorder.maricopa.gov/pollingplace/getdistrict.aspx

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Last Name of PC *

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

First Name of Precinct Committee Person (PC) *

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Middle Name or Initial of PC

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Street Address (Residence) *

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Apartment/Unit (Residence) *

If not applicable type "N/A"

City/Town (Residence) *

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Zip Code (Residence) *

Mailing Address

IF DIFFERENT THAN RESIDENCE

Apartment/Unit (Mailing)

IF DIFFERENT THAN RESIDENCE

City/Town (Mailing)

IF DIFFERENT THAN RESIDENCE

Zip Code (Mailing)

IF DIFFERENT THAN RESIDENCE

VOTER ID NUMBER (AFF NO)
*

This information can be found on your Voter Registration Card or at https://my.arizona.vote/PortalList.aspx

Congressional District Number *

You can find your Congressional District at https://arcg.is/14jGWP

LD - Legislative District Number *

If you are unsure of your LD please go to https://recorder.maricopa.gov/pollingplace/getdistrict.aspx

Supervisor District Number *

You can find your Supervisor District at https://recorder.maricopa.gov/pollingplace/getdistrict.aspx

PC Phone Number *

Numbers ONLY, please 5555555555 (NO HYPHENS, SPACES OR PARENTHESES)

PC EMAIL ADDRESS

USE ALL CAPS FROM HERE TO THE END OF THIS FORM

Is your phone number a cell? *

Yes

Please type your FULL LEGAL NAME declaring that the information you are submitting is true and correct. *

I declare that the information submitted in this application is true and correct, and at the time of this filing I am a resident of the county, district, and precinct which I propose to represent, and I will be qualified at the time of election to hold the office of Precinct Committeeperson for Legislative District 26 Democrats.

Subscribe to the AZLD26 Newsletter

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms