2019 Convention Add-on Application
Please select ONE category for your application.

Applicants must be a registered Democrat in Massachusetts. Party registration status can be checked here: www.sec.state.ma.us/VoterRegistrationSearch/MyVoterRegStatus.aspx. Completed applications must be received by 5:00pm, July 8, 2019. You will be notified of your application status after August 10, 2019.

If you have any questions, please call MassDems at (617) 939-0800, or email convention@massdems.org.

Email address *
First Name *
Your answer
Last Name *
Your answer
Gender *
Date of Birth *
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DD
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YYYY
Address *
Your answer
City/Town *
Your answer
ZIP *
Your answer
Ward (if applicable)
Your answer
Phone *
Your answer
I attended my caucus: *
I am active in a Democratic organization: *
If yes, please specify which Democratic organizations you are a member of:
Your answer
I am applying to be a YOUTH add-on.
Applicants must be at least age 16 by May 11, 2019 and 35 or under as of September 14, 2019. The youth add-on process gives preference to those who attended their local caucus or are active in Democratic organizations.
I am applying to be a MINORITY add-on.
The Democratic Party of Massachusetts, to encourage participation by all segments of the population, shall conduct Affirmative Action and Outreach Programs on behalf of target groups which include Blacks, Hispanics, Asian Americans, Native Americans, and Cape Verdeans. Under the Method of Selecting Delegates, unsuccessful candidates for delegate are given first preference in the minority add-on application process.
I am:
I am applying to be a DISABLED add-on.
Disability/Handicapped, with respect to an individual, means a physical or mental impairment that substantially limits one or more of the major life activities of such individual, a record of such an impairment, or being regarded as such an impairment.
I am requesting the following ADA accommodation(s):
Your answer
I am applying to be an LGBTQ+ add-on.
LGBTQ+ is defined as individuals that identify as part of the Lesbian, Gay, Bisexual, and Transgender community. I identify as a member of the LGBTQ+ community.
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