Municipal/Other Questionnaire

Candidate Info

Candidate Name*

Position Sought*

Are you an incumbent for this position?*

Incumbent

Non-incumbent

Home Legislative District*

Are you a Democrat?*

Campaign Info

Campaign Manager or Point of Contact*

Mailing Address*

Phone

Email*

Website

Facebook

Twitter

Part I - Candidate Background

1. Please briefly describe your qualifications, education, employment, community and civic activity, union affiliation, prior political activity, and other relevant experience.*

2. What prompted you to run for this office? What are your campaign’s most important themes, issues, or priorities (three to five)?*

3. What steps are you taking to run a successful campaign?*

Part III - Free Response

1. Why are you requesting Democratic endorsement? What aspects of the Democratic platform most resonate with you?*

2. What important local issues have you worked on (or taken an interest in) that you feel aren’t getting enough attention from elected leaders and the media?*

3. Please list up to three specific, concrete actions you would support to ease the homelessness crisis.*

4. What are the barriers to economic prosperity faced by residents in your jurisdiction, and how do you plan to address them?*

5. What are the transportation/transit challenges which face this jurisdiction and how would you address them? What role does rail play in your proposed solutions?*

6. What are your jurisdiction’s environmental issues, which ones are urgent and what will you do to address them?*

7. Does your district have a taxing authority or propose levies and what changes, if any, would you seek?*

8. What safety, law, or justice issues are facing your jurisdiction, and how will you address them?*

By typing my name below, I declare under penalty of perjury the foregoing is true and correct.

Printed Name*

Date (mm/dd/yy)*

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Municipal/Other Questionnaire

Candidate Info

Campaign Info

Part I - Candidate Background

Part II - Local Issues (Yes/No/Qualify Your Response)

Part III - Free Response

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