Election Request Form

Unit Elections Request

First Name

Last Name

Your Email

Your Phone Number

Unit Type

Unit Number

Council District

Are you the Unit Leader?

Yes

No

If yes, you do not have to fill out the following Unit Leader Information.

Unit Leader First Name

Unit Leader Last Name

Unit Leader Email

Unit Leader Phone Number

First Preference Date/Time

Second Preference Date / Time

Third Preference Date / Time

Meeting Location

Address Line 1

Address Line 2

City

State

Zip Code

Country