Endorsement Application - San Mateo County Democratic Central Committee
Candidates who wish to apply for the San Mateo County Democratic Central Committee (SMCDCC) endorsement for the November 2017 election must complete and submit this form electronically.

THIS APPLICATION DEADLINE IS 10:00 P.M. ON AUGUST 31, 2017.

Eligible applicants will be scheduled for an interview. Interviews will be held on the afternoon of either September 9 or 10 pending venue availability. Please keep those dates clear for interviews.

If you have not received an email confirming the date, time and location of your interview by 10:00 P.M. on September 3, 2016, email endorsement@smcdems.org with a CC to chair@smcdems.org.

The Endorsements Slate will be presented at the September 21 General Meeting. The entire Central Committee will then vote on which candidates to endorse at that meeting . You are invited but not expected to attend.

You are encouraged to print the form for your own records before submitting it. Your answers cannot be changed or revised after they are submitted. Please do not send additional documents, resumes, flyers or endorsement letters.

1. First Name *
Your answer
2. Middle Name *
Your answer
3. Last Name *
Your answer
4. FPPC Number *
Your answer
5. Full Name as Registered to Vote *
Your answer
6. Address Where Registered to Vote *
Your answer
7. Date of Birth
Submission of this information is optional. However, it may help us to verify your voter registration, particularly if there is another voter with the same name living at your address who is a member of another political party. Example: December 15, 2012.
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DD
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YYYY
8. Email Address *
The SMCDCC will use this email address to communicate with you regarding the endorsement process, and to notify you of the time and date of your interview. You should therefore ensure that emails to this address from endorsement@smcdems.org will not be blocked as spam or otherwise rejected.
Your answer
9. Telephone Number *
Please list a number where we can reach you on and before the day of the interviews.
Your answer
10. Mailing Address *
Your answer
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