JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
NOMINATE CAROLYN ESSEX FOR STATE ASSEMBLY AD69 LONG BEACH, SIGNAL HILL, BELMONT SHORE, BIXBY KNOLLS, WEST CARSON, AVALON
Nomination Period: December 19, 2025 - March. 6, 2026
Contact us at: PRINCESSKINGINT@GMAIL.COM
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
I am seeking nomination signatures for State Assembly in district 69. Will you do me the honor of being one of my nominating signatures? You must be a registered voter in my district (69). Thank you for your consideration. You are greatly appreciated.
*
Yes
Not right now, would like to know more about Carolyn Essex.
PLEASE RSVP TO...
Name
*
Your answer
Cell phone
Your answer
Address
*
Your answer
Zipcode
*
Your answer
Are you registered to vote?
*
Yes
No
Voter Registration
https://registertovote.ca.gov/
California Secretary of State
Carolynjessex.com
Assembly District 69
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
Privacy
Terms
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
