D4: GOTV Request Form

GOTV Request Form
This is not a routine election year. Decisions being made right now are directly impacting Black communities, and voter turnout will determine what happens next. We need immediate, coordinated action to reach voters where they live!

Thanks to our partnership with the NAACP, this form is for chapters and individuals who are ready to do direct voter contact and need support setting up phonebanks and canvasses to increase voter participation in their communities.

Nonpartisan GOTV Disclaimer
This GOTV request is for nonpartisan voter engagement purposes only. All turnout efforts conducted through chapters or individuals must not support or oppose any political party or candidate. These efforts are solely focused on increasing voter participation, voter education, and turnout, and must comply with all organizational guidelines and applicable election laws.
Email address
example@example.com
CONTACT INFORMATION
Primary Contact First and Last Name
Primary Contact First and Last Name
Primary Contact Phone Number
Secondary Contact First and Last Name
Secondary Contact Phone Number
Secondary Contact Email
Chapter Name
Chapter City
Chapter State
Chapter Region
GOTV DETAILS
Are you requesting a phonebank list or a walk (canvassing list)
Precinct or county you want to target
Target voters (e.g., registered voters, infrequent voters, seniors, students)
We have provided a short pre-recorded training for your review. A member of our team can also host a live training for Sorors who are new to this work or would like additional support.
What date do you need your request by?

MonthDayYear
COMPLIANCE ACKNOWLEDGEMENT
Please review and acknowledge the following:
Any additional information you would like to share?
Should be Empty:

GOTV Request Form

CONTACT INFORMATION

GOTV DETAILS

COMPLIANCE ACKNOWLEDGEMENT