CAPES Volunteer Sign Up

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

If you would like to be contacted to volunteer with Citizens for Arkansas Public Education and Students, please complete this form. Check your email for next steps.
Regnat Populus Y'all.

First Name *

Last Name *

Email Address *

Phone Number *

What county do you live in? *

List the Counties in which you live or can volunteer? *

CLUSTER 1: (counties: Benton, Crawford, Scott, Sebastian & Washington) (main connection thoroughfare(s): I-49)

CLUSTER 2: (counties: Franklin, Johnson, Logan, Madison & Newton) (main connection thoroughfare(s): I-40 & AR-23)

CLUSTER 3: (counties: Boone, Carroll, Marion, Searcy & Van Buren) (main connection thoroughfare(s): US-62 & US-65)

CLUSTER 4: (counties: Baxter, Fulton, Izard, Sharp & Stone) (main connection thoroughfare(s): US-62, AR-5 & AR-9)

CLUSTER 5: (counties: Clay, Craighead, Greene, Lawrence & Randolph) (main connection thoroughfare(s): US-49 & US-63)

CLUSTER 6: (counties: Crittenden, Cross, Mississippi, Poinsett & Saint Francis) (main connection thoroughfare(s): I-55, I-555, US-64 & AR-1)

CLUSTER 7: (counties: Cleburne, Independence, Jackson, White & Woodruff) (main connection thoroughfare(s): US-64, US-67 & US-167)

CLUSTER 8: (counties: Conway, Faulkner, Perry, Pope & Yell) (main connection thoroughfare(s): I-40, US-65, AR-7 & AR-9)

CLUSTER 9: (counties: Clark, Garland, Hot Springs, Montgomery & Polk) (main connection thoroughfare(s): I-30, US-70 & AR-7)

CLUSTER 10: (counties: Jefferson, Grant, Lonoke, Pulaski & Saline) (main connection thoroughfare(s): I-30, I-40, I-530, US-167 & US-270)

CLUSTER 11: (counties: Arkansas, Lee, Monroe, Phillips & Prairie) (main connection thoroughfare(s): I-40, US-70, US-165 & AR-1)

CLUSTER 12: (counties: Ashley, Chicot, Desha, Drew & Lincoln) (main connection thoroughfare(s): US-65, US-82 & US-425)

CLUSTER 13: (counties: Bradley, Calhoun, Cleburne, Dallas & Union) (main connection thoroughfare(s): US-79, US-167, US-278 & AR-8)

CLUSTER 14: (counties: Columbia, Lafayette, Miller, Nevada & Ouachita) (main connection thoroughfare(s): US-79, US-82 & US-371)

CLUSTER 15: (counties: Hempstead, Howard, Little River, Pike & Sevier) (main connection thoroughfare(s): US-71 & US-278)

Required

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