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?
*
Yes
No
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 Name
Last Name
Now enter and confirm your email address
*
Confirmation Email
example@example.com
Enter your Mobile Phone Number:
*
Please enter a valid phone number.
Please enter your complete address
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
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!).
-
Month
-
Day
Year
eg,08-16-1952
Please indicate the Precinct you represent:
*
101
103
107
111
117
119
121
123
125
127
129
131
133
135
137
139
141
201
203
205
207
209
211
213
215
217
219
221
223
301
303
305
307
309
311
313
315
317
321
323
325
327
329
331
333
401
403
405
407
409
411
413
415
417
419
421
501
503
505
507
509
511
513
515
517
519
521
523
525
527
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 Rights
2nd Amendment Rights
Election Integrity
Mask Mandates
Forced Vaccinations
County Schools
Right To Life
Freedom To Worship
Government Overreach
Other
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.
Sunday
Monday
Tuesday
Wednesday
Thursday
Friday
Saturday
I am unavailable to volunteer at this time.
What Morning hours work best for you?
Hour Minutes
AM
AM/PM Option
Until
until
Hour Minutes
AM
AM/PM Option
What Afternoon/Evening hours work best for you?
Hour Minutes
PM
AM/PM Option
Until
until
Hour Minutes
PM
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 Phone
Distribute Advertising Literature
Campaign Sign Placement
GOTV Campaigns
I would like to help Register Voters by
Voter Registration Drive events
Register New Voters in my Neighborhood.
I would like to help build the Republican Party by being a
Neighborhood Leader
Casual Volunteer
Core Volunteer
Precinct Strategy Committee Team Member
Headquarters Volunteer
Technical Volunteer
I would like to Insure Honest Elections by becoming a
Poll Watcher
Poll Worker
Ballot Counting Observer
Tag Needed
Submit
Should be Empty: