Candidate Application for Incumbents – Burbank Democratic Club

Thank you for seeking the endorsement of the Burbank Democratic Club. Our members are committed to supporting candidates who demonstrate leadership, integrity, and a clear vision for our community. This application is designed to help us understand your background, your strategy for winning, and your approach to governance.

Please complete the following questions thoroughly and honestly. Your responses will be shared with our endorsement committee and may be distributed to voting members prior to interviews. To ensure fairness and allow us to evaluate all candidates equally, please adhere to the following guidelines:

  • Word Limit: Each response is limited to 250 words maximum. Please be concise and direct.

  • Deadline: All applications must be submitted by April 5th at 11:59 PM . Late submissions will not be considered for endorsement.

  • Interviews: After reviewing applications, our committee will conduct virtual interviews with each candidate. Details regarding scheduling and platform will be sent to qualified applicants after the deadline.

  • Judicial Candidates: If you are running for a judicial seat, please note that specific instructions have been provided within the relevant questions.

Eligibility:
Per our Bylaws, the Burbank Democratic Club endorses candidates who will appear on the Burbank voter ballot. This includes:

  • Federal Offices: e.g., United States Congress

  • Statewide Offices: e.g., Governor, Lieutenant Governor, Attorney General, and other statewide constitutional offices

  • State Legislative Offices: e.g., State Assembly, State Senate

  • Local Burbank Offices: e.g., Burbank City Council, Burbank Unified School District Board, Burbank Water and Power Board

  • Judicial Offices: e.g., Superior Court Judge

  • Ballot Measures: Appearing on the Burbank ballot

If you have any questions about the application process, please contact our Political Director Michael Alexandro Tejax at michael.a.tejax@gmail.com we look forward to learning more about your campaign.

Sign in to Google to save your progress. Learn more
Name: *

Campaign/Office Email Address:

 *

Campaign Manager or Point of Contact: (Name and contact info if different from above)

 *

Phone Number:

 *

Campaign Website URL:

 *

Social Media Handles: 

 *

Office You Are Seeking Re-Election (e.g., Governor, State Senate, State Assembly)


 *

District/Seat Number: (If applicable)

Has your campaign officially launched? 

 *

Political Party Affiliation:

Democrat

Republican

Independent

Non-Partisan (Office is non-partisan)

Other: _____________

 *
Campaign Finance & Independence (250 Words): 
 What is the single largest source of funding for your campaign (e.g., small donors, a specific industry, self-funding) *
Campaign Finance & Independence (250 Words): 
Can you provide a list of your top 5 donors for this re-election campaign and explain what they expect in return for their support, if anything? *
Campaign Finance & Independence: (250 Words): 
Part I: Have you accepted, or will you pledge to refuse, contributions from corporate PACs, fossil fuel PACs, or PACs affiliated with industries whose practices conflict with core Democratic values *
Campaign Finance & Independence: (250 Words): 
Part II: If you have accepted such funds in the past, why should we believe your stance has changed?
Power & Effectiveness: (250 Words): 

[For Judicial Candidates: You may skip this question and proceed to the next section.]
Beyond setting policy, elected officials must leverage their platform and authority to create change. What is your theory of change, and how will you use the specific powers of this office to execute it?

 *
Power & Effectiveness: (250 Words): 
[For Judicial Candidates: You may skip this question and proceed to the next section.]
Describe your most significant legislative or policy achievement that you authored or drove to completion in your last term.
 *
Futures & Values: (250 Words): 
Given your experience, what is the most urgent undiscussed threat or opportunity facing our community, and what is your specific, actionable plan to address it? 
 *
Future & Values: (250 Words): 
[For Judicial Candidates: You may skip this question and proceed to the next section.]
How have your policy positions evolved on a key issue (e.g., housing, policing, climate) since you were first elected?
 *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Google Forms