1. Please describe your organization’s experience conducting voter registration drives during prior election cycles, including
the approximate number of registration forms your organization submitted in 2016 and 2018.
ONLINE VOTER REGISTRATION UNIQUE URL PILOT PROGRAM
APPLICATION FOR PARTICIPATION
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501(C)(3) EIN OR AZSOS FILER ID #
CITY STATE ZIP CODE
NAME OF 501(C)(3) ORGANIZATION OR POLITICAL PARTY
E-MAIL ADDRESS
BUSINESS ADDRESS
BUSINESS TELEPHONE
PLEASE PROVIDE A BRIEF DESCRIPTION OF THE ORGANIZATION
PRIMARY REPRESENTATIVE ROLE
CITY STATE ZIP CODE
PRIMARY REPRESENTATIVE CONTACT NAME
E-MAIL ADDRESS
MAILING ADDRESS
TELEPHONE NUMBER
I have read and will agree to the terms contained in the OVR Unique URL Pilot Program Participant Agreement if my application
is approved, and understand that submission of this application does not guarantee my organization’s participation in the Pilot
Program.
By signing, I declare under penalty of perjury that the information provided on this form is true, complete, and correct.
Name of Authorized Representative
Conformed Signature of Authorized Representative
/S
/
4. Describe your current voter registration training for volunteers/paid canvassers and your quality assurance process.
3. If approved for the Pilot Project, how do you plan to utilize the unique URL assigned to your organization to maximize
voter registrations completed through that URL?
2. Please describe your voter registration plans for 2020, including: What resources do you have devoted to those efforts? What is
your voter registration goal (number of completed registrations)? What percent of voter registrations do you hope to submit
electronically via a unique URL in 2020?
ONLINE VOTER REGISTRATION UNIQUE URL PILOT PROGRAM
APPLICATION FOR PARTICIPATION
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