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CANDIDATE ENDORSEMENT QUESTIONNAIRE

 

Thank you for your interest in advancing opportunities for both minority political consultants and traditionally under-served and over-looked voters. For early endorsement consideration, submit this on-line endorsement questionnaire by February 28, 2019.  

I. CANDIDATE INFORMATION
Name of Candidate *
Name of Candidate
http://
Campaign Phone Number *
Campaign Phone Number
Campaign Manager Cell Phone *
Campaign Manager Cell Phone
II. DIVERSITY DEMOGRAPHICS
For each minority identification below, specify the number of paid persons (consultants and non-consultants) on your staff:
please describe
III. BELIEFS
Do you support a “livable wage”? *
In your opinion, what is the level of impact of having a minority consultant on a political campaign? *
In your opinion, what is the level of impact of having a minority consultant on a political campaign?
None/No Impact
Some Impact
Impact varies with voter district/area
Significant Impact/Major contribution to voter relations
Please limit your response to 200 words.
IV. DIVERSITY OUTCOMES / PERFORMANCE
Please limit your response to 200 words. Include statistics and data, if applicable.
If you have sought elected office before:
If you have served in elected office before:
V. COMMITMENT
Please limit your response to 200 words.
Please limit your response to 200 words.
Do you support equal representation of women and minorities on statewide commissions, and other non-elected policy making groups? *
Please limit your response to 200 words.
Please limit your response to 200 words.
Please limit your response to 200 words.
SIGNATURE and RELEASE
If you, the candidate, give permission for release, type the following attestation: YES, I {insert your full first and last name} consent to the release of answers I have provided in my questionnaire responses. ------------------- If you do not grant permission for release or promotion of your commitment, type the following: NO. I do not give my consent.
To verify the validity of your, the candidate's, submission of responses, provide your electronic signature below. Type your full first and last name and include the last 4 digits of your social security number.