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31st LD Caucus Delegate Registration Form
Please provide all information as completely as you can, so that we can submit it to the Washington State Democrat Central Committee if you are elected.
Please reach out to Brian Gunn (
chair@31stdistrictdemocrats.org
) If you have any questions
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, jotta voit tallentaa edistymisesi.
Lue lisää
* Pakollinen kysymys
Full Name
*
Oma vastauksesi
Email
*
(Will not be shared)
Oma vastauksesi
Phone Number
*
(Will not be shared)
Oma vastauksesi
Home Address, including city
*
We need this info to be sure your reside in the 31st legislative district (which might have changed with the recent redistricting). Address will not be shared.
Oma vastauksesi
Gender Identity
*
We need this information because of gender parity rules for the delegation sent from each district. If you don't identify as male or female, please select Gender Non-Binary.
Female
Male
Gender Non-Binary
If elected as delegate, will you be attending the June convention in Tacoma virtually or in person?
We need this information from you now because we are required to report it to the state party by April 1st.
Virtually
In Person
Tyhjennä valinta
If you would like to provide a statement as a candidate for delegate, please submit it below, and it will be distributed to voting members of the 31st Legislative District.
Oma vastauksesi
We hope to encourage delegate representation from many parts of the population. We are taking the survey below to help us and the state party determine how successful we've been. Please check any of the following boxes that apply to you.
*
Hispanic/Latino
Black
Native American
Asian-American or Pacific Islander
Person with a Disability
LGBTQ+
Youth 26-36
Youth 18-25
None of the above
Prefer not to say
Pakollinen
Lähetä
Tyhjennä lomake
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