Manatee County REC Member Form

We're Updating Our Database!

To help us keep up to date with our REC members and prospective members, please complete the following questions. Remember to scroll down after completing the questions and then hit the "Submit" button.
Are You currently a member of the Manatee County REC?*

YesNo
This section will ask about your contact and background information.

Scroll down to complete all questions. Note that some responses are required.
Please enter your full name

First NameLast Name
Now enter and confirm your email address*

Confirmation Emailexample@example.com
Enter your Mobile Phone Number:*
Please enter a valid phone number.
Please enter your complete address

Street Address

Street Address Line 2

CityState

Zip Code
What is your Voter Registration Number?
This may be obtained at https://www.votemanatee.gov/Voter-Information/Voter-Status-Information-Check-Your-Registration-Status
Now please enter your date of birth (we promise not to tell anyone!).

MonthDayYear
eg,08-16-1952
Please indicate the Precinct you represent:*

101103107111117119121123125127129131133135137139141201203205207209211213215217219221223301303305307309311313315317321323325327329331333401403405407409411413415417419421501503505507509511513515517519521523525527
What is your current occupation? If you are retired, simply type "Retired".
eg, Cryptotrader, Law Enforcement, Business Executive, etc.
Please indicate your current Certifications. Separate each with a comma (",").
eg, RN, CISSP, CPA, etc.
Please list your Special Skills. Separate each with a comma (",").
eg, Attorney, Healthcare, Business Management, Software Developer, etc.
Please list your Special Talents, separating each with a comma (",").
eg. Photography, Graphic Artist, Social Media Warrior, etc.
Please list your hobbies, also separated with a comma (",").
What is your primary concern?

1st Amendment Rights2nd Amendment RightsElection IntegrityMask MandatesForced VaccinationsCounty SchoolsRight To LifeFreedom To WorshipGovernment OverreachOther
In this section we will ask about your availability to perform volunteer duties.

Please complete all questions.
What days are you available for volunteer duties? Select all that apply.

SundayMondayTuesdayWednesdayThursdayFridaySaturdayI am unavailable to volunteer at this time.
What Morning hours work best for you?

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
What Afternoon/Evening hours work best for you?

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
In this final section, please select Potential Volunteer Duties.

Multiple selections are allowed.
I would be willing to Support Candidates by

Contact voter by PhoneDistribute Advertising LiteratureCampaign Sign PlacementGOTV Campaigns
I would like to help Register Voters by

Voter Registration Drive eventsRegister New Voters in my Neighborhood.
I would like to help build the Republican Party by being a

Neighborhood LeaderCasual VolunteerCore VolunteerPrecinct Strategy Committee Team MemberHeadquarters VolunteerTechnical Volunteer
I would like to Insure Honest Elections by becoming a

Poll WatcherPoll WorkerBallot Counting Observer
Tag Needed
Should be Empty:

We're Updating Our Database!

This section will ask about your contact and background information.

In this section we will ask about your availability to perform volunteer duties.

In this final section, please select Potential Volunteer Duties.