Individual MemberKelly Kohls2020-02-29T04:57:03+00:00 BECOMING A MEMBER IS ALWAYS FREEForm is successfully submitted. Thank you!Individual Signup FormSignup to become a member of the Ohio Republican PAC.First Name*Last Name*Email*Address*Address Line 2City*State*Please selectALAKARAZCACOCTDEDCFLGAHIIDILINIAKSKYLAMEMHMDMAMIMNMSMOMTNENVNHNJNMNYNCNDOHOKORPARISCSDTNTXUTVTVAWAWVWIWYPostal Code*Please enter your mobile phone number if you have one.*Type of PhoneMobile PhoneHome PhoneType of Mobile Phone ServiceVerizonATTSprintT-MobileSpectrumMintStraight TalkCricketUS CellularUS MobileTotalTRAC PhoneMetroConsumer CellularSimple MobileVirginOtherBest method to reach you?PhoneTextEmailWhat SOMETHING are you willing to do?*Social Media Influencer (share our posts)Will religiously take a weekly surveyPut candidate signs in your yardHelp distribute candidate signsWill distribute literature door to doorWill do door-to-door SurveysWill help to put on eventsWill walk in paradesWill write opinion editorials and submit to newspapersl be a regional Rep for the PAC (upload resume')Interested in being on one of the PAC Plank Committees (upload resume')Interested in being on the PAC scanning committee (upload resume')Offer to be a subject matter expert for the PAC (upload resume')Upload ResumeDrop files here or click to select% Completed0Link to your Facebook ProfileLink to your Twitter ProfileAge*Health*Disabled (Computer work only)Poor (Work from home only)Fair Health (Could walk for 4 hours)Good Health (Could walk for 4 hours and carry signs or literature)Great Health (Could walk for 8 hours and carry signs or literature)TransportationI own a carI own a pickup truckI own an SUVI do not own a vehicleMany times we need to ask a person to volunteer and they will incur personal expenses. It helps us plan better if we know your income level so we don't ask volunteers to do things that they cannot afford to do.Income level in $We need minority outreach partners are you any of the following?Anglo Saxon European (Caucasian)African AmericanAmerican IndianAsian/Pacific IslanderLatino/HispanicJewishLesbian, Gay, or BisexualMuslimEvangelical ChristianCatholicOther ChristianBuddistTsaoistShintoOther ReligionAre you any of the following?A VeteranA Vietnam VeteranA Combat VeteranA Police OfficerA Federal Law Enforcement or Intelligence OfficialA Border Patrol AgentA First Responder that is not in Law EnforcementA LawyerA TeacherA Medical Doctor/Pharmacist/SurgeonA member of the clergy or spiritual advisor?Are you any of the following?An NRA memberA member of Buckeye FirearmsA member of the Ohio Gun OwnersAssociationHave a Conceal Carry LicenseHave a Federal Firearm LicenseHave you?Been convicted of a felony?Been convicted of armed robbery?Been convicted of theft?Been convicted of rape?Been convicted of pedophilia?Been convicted of prostitution? Submit
