DGI Club Representative to the Pre-Endorsement Caucus
Let's achieve our goals and fight for Democrat values!

Please fill out this form if you are interested to be considered to become a DGI representative to the caucus for the California Democratic Party pre-endorsement conference this October.

The club will vote on pre-endorsement representatives at our June 23 meeting, 2-4 pm at The Duck Club, 15 Riparian View, Irvine.

Members in good standing with the Democrats of Greater Irvine are eligible to become pre-endorsement representatives of our club to the California Democratic Party pre-endorsement caucus which occurs October 5-6 for our region. You must be a registered Democrat and fill out this form to be considered.

Email address *
Name (as registered to vote) *
Your answer
Address (as registered to vote): Street, City, Zip *
Your answer
For gender equity, we are electing between women and non-women as much as possible. For that end, please indicate you gender. *
Your answer
What is your state senate district? Find your representative and district numbers here: http://findyourrep.legislature.ca.gov/ *
What is your state assembly district? Find your representative and district numbers here: http://findyourrep.legislature.ca.gov/ *
Please say why you are interested in being a club representative. (in 1500 characters or less) *
Your answer
A copy of your responses will be emailed to the address you provided.
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