Petition to Place Advisory Question on DeKalb Democratic Primary Ballot
Use this form to submit a suggested question to the DeKalb County Democratic Committee Chair to place on the DeKalb County Democratic primary ballot. The Chair and the Committee shall exercise discretion as to whether to include your question on the ballot. The Chair shall submit all approved questions to the DeKalb County Board of Elections and Registration on the Qualifying Week of every even-numbered year.

The right of the party to place a question on county or statewide primary ballots is protected under OCGA 21-2-284(d).
Email address *
Title of Question *
Your answer
Question *
Your answer
Describe why this question fulfills the aims of the Democratic Party of Georgia.
Your answer
Name *
Your answer
Mailing address *
Your answer
Home address (if different from Mailing address)
Your answer
Zip Code *
Your answer
Primary phone *
Your answer
Are you a resident of DeKalb County, Georgia? *
Required
Are you a registered voter in the State of Georgia?
Leave this blank if you are not a U.S. citizen. You can still fill out the rest of the form, and the DeKalb County Democratic Committee will still consider your petition. For your personal safety, your personal information will not be retained.
Do believe in the goals of the Democratic Party of Georgia? *
Required
Are you a member of any other political party or body (as defined in the Georgia Election Code)? *
Required
Are you affiliated with any political group whose ideal, goals, and methods are incompatible with that of the Democratic Party of Georgia (as identified by the Executive Committee of the Democratic Party of Georgia)? *
Required
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy