Virtual Petition Form - GPVA
This is a virtual petition form to get the Green Party of Virginia on the ballot in November. While this form is not legally binding, it is necessary to demonstrate support for our being on the ballot. You must be a registered voter in order to complete this petition. Please register, if you have not already, at
Email address *
Green Party of Virginia Electors for President and Vice-President
Congressional District:
1 st Gerald Anderson 8 th Kirit Mookerjee
2 nd Tina Rockett 9 th Clifford Anderson
3 rd Steffanie Aubuchon 10 th Josh Nuckolls
4 th Scott Burger 11 th Jonah Thomas
5 th Wendy Hageman Smith At Large Ryan Wesdock
6 th Tamar Yager At Large Sean Imanian
7 Chris Fink
Are you a resident of Virginia? *
Are you a registered voter in the state of Virginia? *
What is your name? *
Your answer
What is the street address at which you are registered to vote? Must include apartment number, etc. This cannot be a P.O. Box *
Your answer
What is the city or town in which you are registered to vote? *
Your answer
"We, the qualified voters in the Commonwealth of Virginia signed below do hereby petition the following to become candidates for the office of Electors for President and Vice President of the United States at the General Election to be held on November 3, 2020. " (Please type your name below to indicate your signature) *
Your answer
What is today's date? *
Are you interested in becoming a member of the GPVA? *
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