Election Influencer Record  UUtheVotePA 
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Date of this Action *
MM
/
DD
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YYYY
First Name *
Last Name *
Your Email *
Your Cellphone
Congregation Affiliation *
Did you work with a UUtheVotePA partner, a group not listed here, or on your own? *
If you worked with a group not listed, who was it?  What did you do?
If you worked on your own, what did you do?
Have you applied to be an Election Poll Worker?
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If you are accepted as an Election Poll Worker, what will your position be?
Are you completing this survey for yourself or for your Congregation's Team? *
If you are reporting for a team, how many participants are on your team today?
If you wrote Postcards, how many postcards did you complete?
How many letters did you or your team write with Vote Forward?  If none report "0". *
How many voter registrations did you or your team complete?  If none report "0". *
How many social posts did your team complete?  If none report "0". *
How many texts did you or your team attempt?  If none report "0". *
How many text responses did you or your team receive?   If none report "0". *
How many calls did you or your team attempt?  If none report "0". *
How many calls did you or your team complete?   If none report "0". *
How many door knocks did you or your team attempt?   If none report "0".     *
How many door knocks did you or your team complete?   If none report "0". *
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