Candidate Questionnaire

This is a copy of the questionnaire used for the 2020 local candidates

Candidate Campaign Questionnaire For LARPAC

Forum to take place August 24th/25th(Specific race slots TBD)
Will you be attending the forum? *

Yes No
Biographical Information
Full Name: *
Email: *
example@example.com
Position Sought: *
Phone Number: *
Current Occupation: *
Incumbent? *

Yes No
Party? *

Republican Democrat Independent
List previous campaigns, elected office, boards or commissions: *
Explain why you are running for office: *
Campaign Committee
Campaign Manager/Consultant Name: *
Campaign Manager/Consultant Phone # *
Committee Name: *
Committee Mailing Address *

Address

Street Address Line 2

City State / Province

Postal / Zip Code
Are REALTORS actively helping with your campaign? *

Yes No
Do you agree to allow SWLAR to live stream and record your interview? *

yes no
Do you agree to allow SWLAR to distribute your interview? *

yes no
By signing this form, you are agreeing to allow SWLAR to live stream your image and to distribute it.
Signature

Clear
Date

Month Day Year
Date
Should be Empty: