Request for Hold a Vote on UConntact Vote @ UConn exists to coordinate large-scale, UConn-wide votes, including elections, polling, and contests. University offices and registered student organizations can request to host a vote through Vote @ UConn by submitting this form. Votes hosted through UConn Votes are run through eBallot, an online platform to build and execute secure, high integrity votes. Votes must be requested at least 15 business days before the vote will take place. Please note that the Vote @ UConn coordinator will require ongoing communication with the requestor throughout the process in order to ensure the most accurate results. All votes must start and end between Monday-Friday 9am-5pm. First Name*First Name of person who will be the primary contact for this voteLast Name*Last Name of person who will be the primary contact for this voteEmail*Email of person who will be the primary contact for this vote Phone*Phone Number of person who will be the primary contact for this voteName of Organization/ Group/ Department*Primary Contact Role*What is the role of the individual serving as the Primary Contact for this vote (i.e. President, Commissioner, Professional Advisor, etc.)Which of the following best describes the vote?*Survey/ PollContest/ CompetitionPlease note that this service was designed for simple polls. It is not meant to be used as a formal instrument for assessment or research. There may be limitations on the amount of, and types of questions included. Please select "Yes" to indicate that you do want to utilize this service despite the limited nature of the "Survey/Poll" option.*Yes, I want to use this serviceNo, I withdraw my requestContact InformationIs the person completing this form also the Primary Contact for the vote? If not, please list your Name and Contact Information below. What is the Name of Your Vote?*What Date Would Voting Begin?*(Please Note: votes must be requested 3 weeks prior to the start of voting) Date Format: MM slash DD slash YYYY What Time Would Voting Begin?*The Department of Student Activities recommends that Voting Periods Begin and End during business hours. : HH MM AM PM What Date Would Voting End?*(Please Note: votes must be requested 3 weeks prior to the start of voting) Date Format: MM slash DD slash YYYY What time would voting end?*The Department of Student Activities recommends that Voting Periods Begin and End during business hours. : HH MM AM PM Which of the Following Best Describes the Population of Eligible Voters?*All UConn Students (from all UConn Campuses)All UConn Students from a Specific Demographic (i.e. Undergraduate Students, Northwest Residents Only, Hartford Campus Students Only, Music Majors, etc.)A short (<100) list of voters you will provideA long (>100) list of voters you will providePlease Describe the Population of Eligible Voters*If the population varies by question, please include this information. (e.g. All First Year Students can vote for Class 2024 T-Shirts, All UConn Students can vote for new ID Design, etc.)For Other Types of Votes: Please List the Questions You Would Like on the Ballot. Indicate Your Answer Choices for Each Question*Click the "+" button to add a question. List all "Answer Choices" you would like to see in your vote in the same box separated by a comma (,) Indicate "Yes" or "No" for each Write-In Option QuestionAnswersAllow Write-In Option? EmailThis field is for validation purposes and should be left unchanged.