PC Application Submission

This form MUST be submitted by the APPLICANT, not a surrogate, using the form provided on this website found here: https://maricopagop.org/wp-content/uploads/2023/11/PC-Appointment.pdf
Please do not submit a jot form or any form other than the download from this website, otherwise the application will be rejected.

PC Applicant Name *

PC Applicant Name

First

Last

Registered Address *

Registered Address

City

State

Zip/Postal

Country

Registered Address

Cell Phone *

Email *

Legislative District *

Precinct *

Voter ID Number *

LD Precinct Match Check

Make Sure this matches with the Legislative District field. If it doesn’t you selected the wrong precinct or the wrong LD

Chair Name

Who referred you to become a PC? *

As a potential PC, which areas of involvement interest you? *

Voter Registration

Meeting voters in your precinct

Distributing literature

Making phone calls

Fundraising

Helping candidates

Election Day poll work

Serving on a committee

Putting up signs

Recruiting

Must select at least one

Which issue is the most important to you in the 2024 election cycle? *

Which issue is 2nd most important to you in the 2024 election cycle? *

Which issue is 3rd most important to you in the 2024 election cycle? *

Completed PC Form Upload (pdf only) *

Maximum file size: 20MB

Signature *

Clear

I attest that I am the applicant submitting this Precinct Committeeman Application

If you are human, leave this field blank.

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