KCD Entered PCO Forms – King County Democrats

PCO Application Form-KCD started

"*" indicates required fields

Please complete the following form to recommend a member of your legislative district for the role of Appointed or Acting PCO.

Applicant's Full Name (As it appears on their voter registration)*

First Name Last Name

Applicant's Preferred Name

First

Applicant's Legislative District*

Applicant's Assigned Precinct*

Residential Precinct for Appointed PCOs, Service Precinct for Acting PCOs Use long form precinct name: XXX DD-XXXX or NAME

Applicant's VAN ID*

2020 Dem Party Support Score

2020 National Turnout Score

Is the applicant registered to vote?*

Yes

Which PCO role is the applicant approved for?*

Appointed

Acting

Date of General Meeting Approval:*

Address (As it appears on the applicant's voter registration)*

Street Address Address Line 2 City State ZIP Code

Is the applicant's address the same as their mailing address?*

Yes

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Applicant's Email*

Applicant's Phone*

Type of Phone

Cell Phone

Home Phone

Link to PDF of scanned document w/ LD Chair signature*

Name of person completing this form*

First Name Last Name

KCD Notes

Your Email

Optional if you want a copy of email to applicant

Your Role*

Date*

Confirm you're a real person.*

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