Progressive House VA Endorsement Application

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Name *

Address *

Phone Number *

Email Address *

Website *

Office Seeking *

Political Party Affiliation *

Briefly describe why you have chosen to run for public office *

Have you ever officially sought or held any public office? *

Describe all additional political experience, including serving as a campaign staff member, volunteer, fundraiser or consultant *

Describe the extent of your community involvement and how that experience relates to your qualifications for public office. Describe any community support for your candidacy. *

What communities, groups or population segments make up your voter base? Why do you consider them your base? What percentage of the voting population do they represent? Be as specific as possible. *

What endorsements have you sought and/or received? Please list endorsement, description of the endorser, and when you received or likely to receive *

Describe the present or anticipated structure of your campaign organization, including paid and volunteer staff positions. *

Do you have a campaign manager and if so what is his or her previous campaign experience? *

What is your campaign theme or message? *

What issues will you emphasize? *

What are your fundraising and budget goals for both the primary and general elections and how much have you raised to date? *

How did you hear about Progressive House VA? *

Why are you seeking the Progressive House VA endorsement? *

Why do you think Progressive House VA endorsement and support will benefit your campaign? *

Will you have a primary or caucus? *

Will you sign a "Pledge to Progressive Values"? *

Yes

Maybe

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