National Mock Election
Enrollment Form
for Individuals, Schools and School Districts


Fields in BOLD are required

Contact Information
First Name

Last Name

E-mail

Confirm E-mail

Phone

 ( )        Ext.
Alternate Phone ( )    

Mailing Address

Street

City
State
ZIP
I will participate as a...

Group Information
Group or School Name
State Ballot
(this determines which ballot you will use)

Estimate how many of your students or parents are likely to vote in the mock election?
(whole numbers only, no ranges)

Group Address (if different from Contact's Mailing Address above)
Street
City
State
ZIP
Notes/Comments

Please click "Send Enrollment" only once. Due to large numbers of entries, you may experience a slight delay before you see the confirmation screen.



Enroll by Mail or Fax

If you experience problems with this form or you choose not to enroll online, you can download the form and send it to us by fax or mail.

Download and Print the Enrollment Form
(Acrobat Reader is required to read the file)


Fax: (520) 742-3553

Mail:
National Student/Parent Mock Election
P.O. Box 36653
Tucson, AZ
85740