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GreenPAC Endorsement Nomination Form Federal 2019
In the 2019 federal election, GreenPAC will be endorsing environmental leaders running for office in each of the major political parties (Conservative, Green, Liberal, NDP). Then we’ll be driving donations of time and money to their campaigns. If you are a candidate and would like to be considered for endorsement, please fill out this form by Friday, June 28, 2019*.

We will only be endorsing candidates in a select number of electoral districts to maximize the support we can direct to each one. To learn more about our endorsement process, visit our FAQ page (http://www.greenpac.ca/faq). Questions? Write to us at info@greenpac.ca.

* Note: Late submissions will be accepted from candidates nominated after June 14, 2019.

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Name
Your answer
Occupation
Your answer
Political Party
Electoral District
Your answer
Are you an incumbent Member of Parliament?
Have you ever been elected to any other public office at the federal, provincial, regional, or municipal level, or have you ever been elected to Indigenous government? Please describe briefly.
Your answer
One factor GreenPAC considers is winnability of the candidate. If your party has not come within 15% of winning the riding in 2008 or since, please describe the qualities and/or circumstances that make you uniquely positioned to win this riding in the upcoming election.
Your answer
Please check off the top three issues you are most passionate about as an environmental champion:
Is there another environmental issue you are concerned about that is not listed here? Please briefly describe.
Your answer
Do you have an educational background in science or the environment? Please describe.
Your answer
Please describe any past work experience that demonstrates environmental leadership.
Your answer
Please list any current or past affiliations with environmental organizations or institutions that you haven’t already described. What role did you play? How long did you serve in this role?
Your answer
If you are an incumbent candidate or have previously been elected to political office, have you ever introduced environmental legislation or voted across party lines in favour of environmental legislation? Have you ever worked with members of another party to preserve, restore or improve the natural environment? Please describe (leave blank if this question is not relevant to you).
Your answer
Have you received any awards or other recognition for your environmental leadership?
Your answer
Please describe any other relevant non-work experience that demonstrates your environmental leadership, including published writing, volunteer work, or anything else you would like to share.
Your answer
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