**Please note this form is to file for a 2015 Vacant Precinct. If you are appointed as a Precinct Chair in 2015 you will still need to file and run in 2016. Click here to download the 2016 filing form.

If your home precinct does not have a Republican precinct chair, you can apply to be appointed to fill that vacancy until the next primary election. To apply, fill out the following form, then click the Submit button at the bottom. (You can also download a form by clicking here, complete it, and mail or email it to the location on the form.)

Read more about Precinct Chairs

* Fields with asterisks are required.

Voter Information

First Name *

Middle Name *

Last Name *

Election Precinct * (Lookup)

Voter ID Number * (Lookup)

Permanent Residence

(Enter a physical address)

Street Number *

Street Name *

City *

State *

Zip *

Mailing Address

 Use Permanent Residence

Street Number

Street Name

City

State

Zip

Contact Information

Preferred Email Address *

Telephone Numbers  format: (xxx) xxx-xxxx
* Home, Work or Cell phone required

Home

Work

Cell

Fax

Personal Information

Date of Birth *
format: mm/dd/yyyy

Marital Status * Choose... Single Married Divorced Widowed

Spouse Name
(if applicable)

Employer

Occupation *

Survey Questions

Current or past memberships in civic or political organizations, regardless of political affiliation or status, including positions of leadership or responsibility held. *

Political campaigns you have volunteered for or contributed to, including applicable dates. *

What do you believe are the three most important issues facing our state and nation? *

Why do you want to be a Republican precinct chair? *

I will help organize and win elections for Republicans in my precinct. * Choose... Yes No Don't know

I will attend quarterly meetings
of the Harris County Republican Party’s Executive Committee. * Choose... Yes No Don't know

I will conduct, or help find a Republican to conduct, elections in my precinct. * Choose... Yes No Don't know

I have read the current Republican Party of Texas platform. * Choose... Yes No Don't know