2022 General Election - Los Angeles County Democratic Party Application for Consideration of Endorsement and Candidate Questionnaire

Los Angeles County Democratic Party Application for Consideration of Endorsement and Candidate Questionnaire

November 2022 Election
THIS FORM IS DUE BY AUGUST 19, 2022 @ MIDNIGHT

If you have any questions, please contact team@lacdp.org.

Please note, all candidates running for one of the offices under the jurisdiction of the LACDP Candidate Interview Committee must ALSO complete the Supplemental Questionnaire. Candidates who must complete the Supplemental Questionnaire include those running for Los Angeles Citywide Office, the Los Angeles City Council, the Los Angeles Community College District Board of Trustees, the Los Angeles Unified School District Board of Education, and certain Water Boards/Replenishment Districts.

After submitting this form, please pay the appropriate fee via Actblue or by mailing a check.

$50 for races outside the City of Los Angeles
$100 for races within the City of Los Angeles

Please choose the correct Actblue Form:

Actblue Form - if paying via a CAMPAIGN ACCOUNT

Actblue Form - if paying as an individual

If paying by check, please mail to:

LA County Democratic Party
533 S Fremont Ave, Suite 410
Los Angeles, CA 90071
Election Information
Election Date *

Month Day Year
Date
Complete Name of Office Sought & District/Seat Number: *
Candidate/Campaign Information
Candidate Name *

First Name Last Name
Incumbent? *

Yes No
Email *
example@example.com
Phone Number (Cell) *

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Campaign) *

Area Code Phone Number
Website
Resident (Voting) Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Campaign Committee Information *

Campaign Committee Name ID Number
Campaign Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Treasurer Information
Treasurer Name *

First Name Last Name
Email *
example@example.com
Phone Number (Cell) *

Area Code Phone Number
Phone Number (Home/Office)

Area Code Phone Number
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Consultant Information
Consultant Name

First Name Last Name
Email
example@example.com
Phone Number (Cell)

Area Code Phone Number
Phone Number (Home/Office)

Area Code Phone Number
Campaign Manager Information
Campaign Manager Name

First Name Last Name
Email
example@example.com
Phone Number (Cell)

Area Code Phone Number
Phone Number (Home/Office)

Area Code Phone Number
Administrative Fee
Application must be accompanied by payment of an administrative fee of $50 for races outside the City of Los Angeles whose jurisdictions include no more than four Assembly Districts, or $100 for races within the City of Los Angeles or whose jurisdictions include more than four Assembly Districts. This fee may be reduced by $1 for each Democratic voter registered within the immediately preceding three (3) months from the date of the endorsement recommendation meeting, up to the entire fee.
Payment Method

Check payable to the Los Angeles County Democratic Party Credit Card via Actblue
I declare under penalty of perjury under the laws of the State of California that I am a registered Democrat and that the above statements in this document and those in any attachments are true and correct. If any part of this application or any information provided during the endorsement process is found to be false, it may be cause for an immediate revocation of any endorsement. I understand that my application is available to any LACDP member upon request.
Signature of Candidate (use mouse to sign)

Clear
Full Name of Candidate *

First Name Last Name
Name of Office Sought & District/Seat Number *
Date *

Month Day Year
Date
Candidate Questionnaire

In order to focus on specific questions pertaining to the office you are seeking, please provide answers to the questions below.
1. Why are you running? *
2. What are your top issues? *
3. Why are you a Democrat? *
4. How long have you been a registered Democrat? Have you been registered as a member of another political party? If so, which party and why? *
5. How often have you voted in previous elections? *
6. How long have you lived in the district for which you are running? *
7. How much do you expect your campaign to cost? How much money have you raised? How do you plan to fund the rest of your budget? *
8. Who do you see as your main opponents in this election? *
9. What are the top three (3) items you expect to accomplish at the completion of your first term of office, if elected? *
10. Please list your top five (5) individual and organizational endorsements. *
11. Please list any Democratic clubs and/or organizations with which you are a member, including the length of your membership and any leadership position you have held in each Democratic club and/or organization. *
12. Please feel free to include any other information you would like us to know about you.
I have reviewed the latest California Democratic Party Platform, as found at https://cadem.org/our-party/standing-committees/platform-committee/ *
Type your Initials
Neither I nor my campaign will be a part of any communication which misrepresents who the Democratic Party has endorsed. *
Type your Initials
Note: Candidates for Los Angeles County, City of Los Angeles, Los Angeles Unified School District, Los Angeles Community College District, Los Angeles County Superior Court, and other select election contests may be required to submit supplemental candidate questionnaire. Please email team@lacdp.org with questions.
Voluntary Information

In an effort to collect data on our endorsed candidates, please fill out this voluntary information below. This is for internal use and will NOT be included during committee distribution
Gender

Woman Man Non-Binary Transgender Choose not to Disclose
Race

White Black or African American Native Hawaiian or Other Pacific Islander Hispanic or Latino Asian American Indian or Alaska Native Choose not to Disclose
Ethnicity

Hispanic or Latino Not Hispanic or Latino Choose not to disclose
Sexual Orientation

Heterosexual Gay/Lesbian Bisexual Pansexual Choose not to disclose
Should be Empty:

Los Angeles County Democratic Party Application for Consideration of Endorsement and Candidate Questionnaire

Election Information

Candidate/Campaign Information

Treasurer Information

Consultant Information

Campaign Manager Information

Administrative Fee

Candidate Questionnaire

Voluntary Information