Daybreak PAC Candidate Nomination Form
Dozens of seats will be wide open with no incumbent in the California Legislature in 2022 and 2024. As well, with bills on universal healthcare, public banking, eviction moratoria, social housing, and fossil fuel production making their way through the California Legislature this year, there will surely be incumbents that need to be challenged in 2022. We need to run strong, accountable, grassroots candidates who can win, and we need to find them NOW.

If you know someone who would make a great Assemblymember or Senator in California, fill out this nomination form. We’re looking for candidates with lived experiences that would prepare them for public service in office, a demonstrated commitment to their communities, campaign pledges, and a people-centered campaign platform (e.g. single payer healthcare, public banks, alternatives to policing, etc.).

Note: Daybreak PAC is looking for candidates to run for STATE office in California, not Congress or city council, etc.
Sign in to Google to save your progress. Learn more
Email *
Your name *
Your email *
Your phone number *
Your city *
Name of Nominee *
Email of Nominee
City of nominee *
Phone number of Nominee
Which District? (e.g. State Senate District 11; Assembly District 54). Note: Daybreak PAC is looking for candidates to run for state office in California, not Congress or City Council, etc. *
When is the election? *
Who is the current state representative in this district? *
Who are the other candidates in this race?
Has or would the nominee pledge to reject contributions from ALL of the following: big corporations, billionaires, real estate interests, law enforcement associations, fossil fuel companies, companies that contract with ICE or CBP and their executives? *
Has or would the nominee pledged to support single-payer healthcare, the Green New Deal, public investment in social housing, public banking, alternatives to policing, and expanded education funding? *
How has the nominee’s lived experiences prepared them for public service in the California Legislature? What is their story? *
What is the nominee’s background with direct community engagement, organizing, or activism? *
To which communities/organizations/union is the nominee accountable? *
Feel free to elaborate here about where the nominee might be at in their process of considering running for office or their experience (if any) of running for office
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy