EQPA Pre-Endorsement Process Enrollment
As we prepare to launch our endorsement process for 2018, please complete the following information.
Email address *
Your First Name *
Your answer
Your Last Name *
Your answer
Your Cell Phone Number *
Your answer
Campaign Manager First & Last Name
Your answer
Campaign Manager E-mail Address
Your answer
Campaign Manager Telephone Number
Your answer
Your Mailing Address (hit enter for a second line) *
Your answer
Campaign Website URL
Your answer
Office you are seeking *
Equality Pennsylvania will consider endorsing you for ONE office at a time.
District Number (if applicable)
Your answer
Are you an incumbent?
Political Affiliation *
Please list the names of probable primary opponents
Your answer
Please list the names of probable general election opponents
Your answer
Previous Election Experience
Have you run for office in the past? If you won, what elected positions have you held and when? If you lost, what did you learn from the loss that informs your campaign this time?
Your answer
Please briefly tell us about yourself including why you feel Equality PA should endorse you.
Use this area to tell us a little bit about yourself. Alternatively, you could link us to your campaign website page that talks about your position on LGBTQ issues. Don't spend a lot of time on this, as we'll send you a full endorsement form shortly. A few sentences is fine.
Your answer
Do you personally identify openly as LGBTQ?
Additional Information
Your answer
A copy of your responses will be emailed to the address you provided.
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