First Name:
Last Name:
Address Line 1:
Address Line 2:
City:
State:
Zip:
Land Phone:
Cell Phone:
Email Address:

Please check your volunteer activity preferences below. Check as many task areas that apply. If you have specific talent and skills that could be helpful, please tell us more:

Office		Reception, answering phones
Clerical		Mailings - stuff envelopes, labeling,stamping, etc.
Participate in phone banks		Flyer drops, distribute campaign literature
Sign installation		Events - set-up, reception serve food & beverages
Assist at events		Walk in the neighborhoods with Mayor Cicilline
Fundraising		Participate in post card or e-mail campaigns
Data Entry		Research and writing
Computer-related		Host an event in your home
Provide transportation		Telephone solicitation
Layout and graphic design		Website maintenance (indicate applicable qualifications)

Please indicate WHEN you are generally available and which days, times are usually best for you	Mornings only Weekdays only Afternoons only Weekdays only Weekends only
I am bi-lingual and willing to assist with translation (indicate specific language)
Please tell us more about how you can help with the Campaign.
Add me to your email updates.