Name *

First Name

Last Name

Phone *

(###)

###

####

Are you a Waltham Resident? *

We want to hear from you regardless of the answer!

Yes, Registered to Vote

Yes, Too Young to Vote

Yes, Unable to Register to Vote

Yes, Not Planning to Vote

No, Not a Waltham Resident

Are you a "public employee" per campaign finance laws? *

Not sure? Watch the video at https://www.ocpf.us/PublicSearch/ViewDocument?id=3373

No

Yes

Volunteer Preferences *

Select any that apply (or just what you want to try first)

Election Day (holding signs at polling place)

Election Day (other)

Early Voting (holding signs at polling place)

Event Host (describe location/venue below)

Door Knocking (conversations and post cards)

Post Card Mailing (address, stamp, and send)

Posting on Social Media

Other