Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
You must be a U.S. citizen to register

Previous Name

Title is required.
Use your full first name. Do not use nicknames or initials.
This field is required.
optional
Put your home address in these boxes. Do not put your mailing address here if it is different from your home address. Do not use a post office box or rural route without a box number. If you live in a rural area but do not have a street address, or if you have no address, please show where you live using the map on the printed form.
Not in AK?
Enter a valid 5 digit zip code.
If you receive mail at a different address, please enter it here.
Enter a valid 5 digit zip code.
If you have moved since your last registration, enter your previous address.
Enter a valid 5 digit zip code.
You must provide your Alaska driver's license number or state identification card number. If you do not have either of those, you must provide the last four digits of your Social Security number. If you do not have any of these identification numbers, please enter "NONE" and a unique identification number will be assigned to you by the state for voter registration purposes.
Enter your birthdate in MM/DD/YYYY format.
Enter a phone number in xxx-xxx-xxxx format.
Alaska has a closed primary election and a caucus system for president. Each recognized political party may choose to have a separate ballot listing only candidates from their political party, or recognized political parties may choose to combine their candidates on one ballot. Recognized political parties may also choose what political affiliations may participate in their primary election. A voter's political affiliation 30 days prior to Election Day will determine which ballot a voter may choose; however, a voter may only choose one ballot.
The state of Alaska does not request information about your race or ethnicity. However, Rock the Vote would appreciate this information in order to measure the effectiveness of our voter registration efforts. This information will NOT appear on your printed voter registration form.

Survey Questions (optional)

Optional
Optional