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REGISTERED
VOTERS
  • as of
  • Democrats:
  • Republicans:
  • Others:
  • Total:
DATES

TAMPA RUNOFF ELECTION
March 25: Registration Deadline
April 14 - 20: Early Voting
April 23: Election Day

Events, public meetings & more:

see our calendar

Adopt A Drop Site Participant Application

Name

Voter Registration Number (if known)

Residence Address

Mailing Address (if different from residence)

Home Phone or Preferred Phone

Work Phone

Cell Phone

Email

Birth Date

Are you retired from the Florida State Retirement System?

If yes, date of retirement

Have you ever worked as a Drop Site worker before?


If yes, where and when?

Adopt A Drop Site Agency/Organization Information:

What is the name of your Adopt A Drop Site agency/organization? (This must match with IRS registered name).

Do you declare that you are working as a Drop Site worker on behalf of your Adopt A Drop Site agency?


Do you agree to assign your stipend to your Adopt A Drop Site agency?


By selecting the Submit button, I agree that I am an Adopt A Drop Site worker, and I agree to assign my stipend to my Adopt A Drop Site agency. I agree that this electronic signature is the legal equivalent of my manual signature on this application.

SUBMIT  Reset