BWOPA LOCAL CHAPTER
PAC ENDORSEMENT REQUEST APPLICATION
Endorsement Request
Name
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Office Sought
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Address
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Phone
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Email
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Website
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Occupation
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Campaign Committee Name
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FPPC#
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Treasurer
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Phone
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Fundraising Goals
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Chair/Consultant
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Campaign Contribution Limits
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Why do you want to run for office and what are your goals if you win? What are the biggest challenges facing your city?
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Do you believe health care is a right or a privilege? Should we have a social contract for healthcare the way we do for education?
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Do you support equal rights for women?
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Do you support the passage of the Criminal Reform Act? Would you support programs and legislation aimed at rehabilitating offenders, facilitating a successful transition from prison to community, and reducing recidivism?
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Do you support increased access to childcare and other dependent care programs funded from all available sources?
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Do you support legislation to protect equal rights for all individuals regardless of gender, race, age, religion, ethnic origin, disability, sexual orientation or real or perceived gender?
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Do you support local increases to the minimum wage? Would you support a prevailing wage ordinance?
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Are you a supporter of Affordable Housing?
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How much housing to build is a major issue of debate in our communities:
List your top 3 platform issues and why they are important to BWOPA:
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Who recommended you seek BWOPA-PAC's endorsement?
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Please share your brief bio:
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