National Delegate Application
If you are interested in being considered to represent Texas at the National Convention as either a delegate or alternate, please complete this form. Applications may be submitted via this form up until 5:00 p.m. (Central Time) July 17, 2020.

The National Nominations Committee will meet on Thursday, July 16th, Friday, July 17th, & Saturday, July 18th. The members of the committee will select 44 delegates, 44 alternates, in addition to the State Chairman, National Committeewoman, and National Committeeman to represent Texas at the Republican National Convention. Copies of your application will be distributed to the members of the National Nominations Committee for consideration. While you are not obligated to complete this form for consideration, doing so will allow the members of the committee to have information about you which will help them make an informed decision.

Additional pages will not be distributed by the Republican Party of Texas to the members of the committee. If you want to distribute additional material, you may do so, but at your own expense (plan on bringing at least 37 copies for committee use).
First Name *
Last Name *
Street Address *
City *
Zip *
Phone Number
Alternate Phone Number`
County *
Congressional District (CD) *
Voter Certificate Number (VUID)
I have voted in the following elections *
If Yes, to voting in Democrat Primary or third party nominating caucus, which one and which year?
I have been a delegate or alternate to the following Republican convention(s)
If Yes, to participating in Democrat Party convention or third party conventions, which one and which year?
I am currently a(n)
If "Member of an official RPT Auxiliary" selected, which one(s). Do you hold any leadership position?
During the past two years, I have
Please list your past Republican Party Republican campaign involvement:
Why should you be selected as a delegate to the National Convention?
If not selected as a delegate, would you still like to be considered to fill an alternate position?
Clear selection
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