People for Bernie endorsement form
Candidate Name
Candidate Committee Name
State
District/ (Municipality if a local action)
Public Campaign Contact Email
Website URL
Twitter Handle
Facebook Page
Campaign HQ Address
Campaign Manager's Name
Campaign Manager's Email Address (will remain private- we'll use for contacting the campaign)
Who is running your field operation?
Are there any issues NOT on your website you support we should know about but you don't highlight on your website?
CANDIDATE INFORMATION
Do you have a plan to win the general election?
Clear selection
If you lose, what’s your plan to use your campaign to continue building a movement?
What got you involved in politics?
Current field of employment, or if taking time off for the campaign, previous field of employment you plan to return to if you lose
Are you involved in or a member of any other progressive, socialist, other grassroots organizations, or unions? If yes, please list them
Are you endorsed by any other progressive, socialist, other grassroots organizations, or unions? If yes, please list them
Have you ever been elected or appointed to traditionally elected positions? This includes, but not limited to, public office, unions, grassroots organizations, churches ect. If yes, please list the years of service and office(s):
Have you ever run for an elected office and lost? Please list all occurrences.
What are the most important issues for constituents in your state/district?
Approximately how much money has your campaign raised?
How much does it need to raise in the primary?
How many doors have you personally knocked in your district?
How many doors do you anticipate your campaign knocking in the primary?
Anything else we should know that will help us decide to endorse you, examples: Bernie Sanders delegate, specific incidences where you were the victim of the criminal justice system, ect
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy