TCDP DNL Application

If you need assistance completing this form please visit the Tarrant County Democratic Party Headquarters at: 3130 Plumwood St, Fort Worth 76111

Ph: 817-335-8683, precincts@tarrantdemocrats.org

Precinct Number you wish to organize*

Find your precinct: https://gisit.tarrantcounty.com/TCVL/

First and Last Name including Middle Initial*

Nickname

Address*

Voter Registration Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Birthdate*

Occupation (Answering "Retired" is ok)*

Employer (Answering "Retired" is ok)*

Preferred Phone Number**

Area CodePhone Number

Preferred Email Address**

example@example.com- You can always change this later

*The Democratic Neighbor Leader is an appointed position. Phone numbers and emails are required by TCDP so that we can contact you.

Every person who accepts a Party office at any level (including DNL, precinct chair, convention delegate, and alternate delegates) and all entitites created by the county party is covered in this agreement and agrees to support all of the Party nominees (in the primary and the general election) or they shall be removed. Your printed or typed in signature below is your legal signature for this purpose.

I, the [applicant, requestor, etc.] for this application, warrant the truthfulness of the information provided in this application.

*Electronic Signature Acknowledgement*

I understand that checking this box and entering your name below constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Electronic Signature**

Please type your first and last name

Oath of Affiliation

If you DID NOT VOTE in the most recent (March 2020) Democratic Party Primary for which election detail is available, you must sign this Oath of Affiliation. To wit: I swear that I have not voted in a primary election or participated in a convention of another party during this voting year. I hereby affiliate myself with the Democratic Party. (Texas Democratic Party Rules, Article III, Section E, 3(a)

*Electronic Signature Acknowledgement for Oath of Affiliation

I understand that checking this box and entering your name in the box constitutes a legal signature confirming that I acknowledge and agree to the above Terms of Acceptance.

Electronic Signature for Oath of Affiliation*

Please type your first and last name

Upon clicking submit, this form will automatically get emailed to the Tarrant County Democratic Party. This form can be printed out and mailed, delivered, or emailed back to the Tarrant County Democratic Party at precincts@tarrantdemocrats.org. Once approved you will soon receive information on duties, expectations, upcoming trainings and tips on being an effective precinct chair. You will also receive important login information to access VAN - the Voter Activation Network. Further information may also be available on our website at www.tcdp.net.

Resignation Information

In the event you would like to resign your position please notfiy the Tarrant County Democratic Party Immediately so we can find your replacement by sending an email to precincts@tarrantdemocrats.org