Election Day Participation Program for High School Students

Deadline for completion – 2 Weeks before Election Day. ALL STUDENTS MUST COMPLETE THE ON-LINE APPLICATION FORM BELOW.

First Name *

Middle Name *

Last Name *

Address 1 *

City *

State *

Zip Code *

Email Address *

Home Phone

Cell Phone

Other

Can we send text messages to your Cell Phone number? We will only send you text messages in very limited circumstances, when we are unable to contact you by email or phone, or to communicate important announcements *

Yes