Candidate Recruitment
Complete this form to indicate that you may want to run for office this year or in the future. Form submission does not guarantee interview, endorsement, or support.
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Party Affiliation:
*
Democrat
Republican
Independent
What seat are you running for?
*
Tell us why you are running for office.
Who is the incumbent and their party affiliation?
What year will you run?
2021
2022
2023
2024
Not Sure
Back
Next
Have you ran for office before
*
Please Select
Yes
No
If yes, describe.
How much money do you need to win?
Tell us how the Henry County Democratic Committee can help you.
Sex
Please Select
Male
Female
Prefer not to say
Identity
Please Select
African American
AAPI
Latino
Caucasian
Other
Prefer Not to say
Submit
Should be Empty: