Goochland Democrats Leadership and Volunteer Interest Form
On January 20, 2018, per the direction of the Democratic Party of Virginia, we'll be holding our biannual reorganization mass meeting to elect the Goochland County Democratic Committee and its officers for the next two years. Use this form to express interest in any of the elected offices and/or committees.

GDC Elected Officer candidates are encouraged to attach a bio or resume highlighting their involvement with, and service to the Goochland County Democratic Committee and the Democratic Party, and their qualifications for the position they are seeking. This can be done online:
https://docs.google.com/forms/d/e/1FAIpQLSctmumljwMY_MGcG8AqAzeyujXPevAXYBVmlTsykiWBWRhr1g/viewform?usp=sf_link

Learn more at www.goochlanddemocrats.org

What is your name? *
Your answer
What is your email? *
Your answer
What is your phone number? *
Your answer
What is your voting precinct? *
I am interested in the following Elected Roles and/or Apppointed Roles:
Each person filing to run for a GDC office must sign this statement that he or she:
a) Is a Democrat;
b) Is a registered voter in Goochland County;
c) Believes in the principles of the Democratic Party; and
d) Does not intend to support any candidate who is opposed to a Democratic nominee in the next ensuing election; and
e) Is an eligible voting member of the GDC as of Jan. 20, 2018
I, by submitting this form and having read the above provisions, hereby state that I meet all the above listed criteria.

For a description of each role, please visit www.goochlanddemocrats.org

ONLY ONE OFFICE PER FILING FORM.

I would like to be considered for the Elected role of: *
Required
I would like to be considered for the Appointed role of: *
Required
I would like to submit my request to be considered for: *
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