District Leader Candidate Form

Want to transform the Queens County Democratic Party? Run for District Leader.

Email address *

First Name *

Last Name *

Phone number *

Twitter handle (if any)

Facebook handle (if any)

Instagram handle (if any)

Residential Street Address *

Residential Neighborhood *

Residential Zip Code *

Assembly District # *

Election District # (if known)

Why are you running? *

What is your experience in campaigning? (Examples: have run for public/party office; worked as paid staff; volunteered on one or more campaigns; no prior experience.) *

As a condition of our support, we ask that all candidates for District Leader affirm the commitments in the pledge below: As a District Leader candidate, I pledge to... *

Open a campaign account in order to accept campaign donations properly, and comply with New York State campaign finance rules;

Refuse and return any contribution by any corporation, by any LLC in the “FIRE” industry (finance, insurance, or real estate), or by any individual who is a known owner, investor, and/or senior executive with management decision-making power in a real estate development or finance company;

Recruit new members to my local Democratic club;

Advocate term limits for intra-party positions in the Queens Democratic Party;

Advocate holding, and help organize, candidate fora at my local Democratic club; and

Refuse to participate in any Queens Democratic Party vote to endorse any candidate in any Democratic primary.

Required

If you do not affirm one or more of the commitments in the pledge above, why not? (If you affirm all of the commitments above, simply enter "N/A".) *

In addition, as a condition of our support, we ask all candidates for District Leader to affirm that you are... *

Not currently employed by a Queens elected official; and

Not currently a Federal, State, or City elected official in Queens.

Required

Send me a copy of my responses.

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