Username: Required. 150 characters or fewer. Letters, digits and @/./+/-/_ only.

Email address:

Password:

• Your password can’t be too similar to your other personal information.
• Your password must contain at least 8 characters.
• Your password can’t be a commonly used password.
• Your password can’t be entirely numeric.

Password confirmation: Enter the same password as before, for verification.

First name:

Last name:

Addr line1:

Addr line2:

Addr city:

Addr state:

Addr zipcode:

Phone:

Registered voter:

Date of birth:

Race: --------- White Black or African American American Indian or Alaska Native Asian Native Hawaiian or Other Pacific Islander

Ethnicity: --------- Hispanic White alone, non-Hispanic Black or African American alone, non-Hispanic American Indian and Alaska Native alone, non-Hispa Asian alone, non-Hispanic Native Hawaiian and Other Pacific Islander alone, Some Other Race alone, non-Hispanic Multiracial, non-Hispanic

Gender: --------- Male Female Other Prefer not to respond

Relationship status: --------- Married Widowed Divorced Separated Never married

Parental status: None 1 2 3 4 More than 4

Education level: --------- Less than high school degree High school degree or equivalent (e.g., GED) Some college but no degree Associate degree Bachelor degree Graduate degree

Political affiliations: Independent Democrat Republican Green Party

Interests: Hobbies: Gardening Hobbies: Fitness Hobbies: Arts and Crafts Hobbies: Gaming Hobbies: Hunting Hobbies: Opera

Regions: United States of America (Country) Ohio (State) Toledo (City) Lucas (County) Maumee (City) District 1 (City Council District) District 2 (City Council District) District 4 (City Council District)