Director Candidate Information Form
The Santa Clara County Democratic Central Committee will appoint the following directors for 2017-2018:

Director of Voter Registration and Community Services
Director of Finance
Director of Campaign Services
Director for Clubs
Director of Candidate Recruitment and Endorsements
Director of Issues
Director of Communications
Director of Gender Equity and the Status of Women (appointed in consultation with DAWN)

Interested Democrats who live in Santa Clara County should complete the below form and submit it no later than February 10, 2017 at 5:00pm.

Name
Your answer
Email Address
Your answer
Residence City
Your answer
Assembly District
Best # to reach you at
Your answer
The Director position(s) for which I wish to be considered
Required
I’m interested in serving in this position because:
Your answer
My background relevant to this position is:
Your answer
I think I would be the best person for this position because:
Your answer
If I were to get this position, my priorities would be:
Your answer
If selected, I would contribute as follows to the diversity of our party leadership :
Your answer
A good person to talk to about my interest in this position is (enter Reference Name):
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Reference phone #
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Reference email address
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Reference Relationship to Applicant
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A potential and/or potentially perceived conflict of interest I may have is:
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