Candidate Submission Form — Rollin to the Polls Voting Initiative

Name

First Name

Last Name

Campaign Email

Please list what office you are seeking

Please list at least three (3) platform points about why your are running for office.

Please select your political affiliation.

Democrat

Republican

Independent

In 300 words or less, please list your bio.

Candidate Website

Please list your website or social media pages here.

http://

Campaign Twitter Page

Campaign Number