An individual can qualify as a candidate for pledged delegate or alternate to the 2020 Democratic National Convention by filing a statement of candidacy designating their presidential (or uncommitted) preference and a signed pledge of support for a singular presidential candidate (including uncommitted status) with the Wyoming Democratic Party by 5 p.m. MDT May 20, 2020. Statements may be filed online at www.wyodems.org/2020caucus or by completing this form and mailing it to WDP P.O. Box 1972 Cheyenne WY 82003.

The convention will take place in Milwaukee, WI July 13-16, 2020. All travel, lodging, and meal costs are to be paid by the delegate.

For which position are you applying? (choose one)

_____ At-large/District Level (1 of 12)

_____ PLEO (1 of 2)

To which candidate are you pledging your support? (please circle one)

Tulsi Gabbard

Pete Buttigeig

Joseph R. Biden

Elizabeth Warren

Amy Klobuchar

Bernie Sanders

Undeclared

Delegate Information (Please type or print)

Last name_______________________ First _______________________ MI____

Registered voting address____________________________________________________  

City_____________________ County_________________

Phone ________________________

Email (non-government) ______________________________________________________

By signing below, I agree that all of the above is true to the best of my knowledge

Print name ________________________________________________________________

Signature (required)__________________________________________________________

Date (MM/DD/YYYY_______________________________