First Name			Last Name
Phone Number			Email
Age
Do you plan to vote in the 2008 Presidential election?
YesNo
Are you registered to vote?
YesNo
State in which you are registered to vote			None Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
State in which you currently reside:			None Alabama Alaska Arizona Arkansas California Colorado Connecticut District of Columbia Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Political Affiliation:
Have you decided who you will vote for?
YesNo
If so, please name the candidate of your choice:
If you are undecided, please explain what additional information is needed before you are comfortable making your decision:
In 200 words or less, please explain why you are voting for this candidate:
Please list the 3 issues that matter to you most:
Please explain why these issues matter to you (in 150 words or less)
In 150 words or less please tell us a little about yourself (be sure to include college you are currently attending, activities you are involved in, and any volunteering experience with the presidential campaigns)