Kansas City Democratic Socialists of America Candidate Questionnaire Form
This form is meant for potential or existing candidates for public office to apply for an endorsement from the Kansas City Democratic Socialists of America. Filling out this form will submit your data to our Electoral Committee where we will review during our next meeting. Filling out this form does not guarantee endorsement.
Submitter's Info
This information should be for the person who is filling out this form.
Full Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
DSA Chapter
DSA references if not a member (names, numbers, and emails of chapter members who we should contact to discuss the candidate’s campaign. Indicate if you have separate contacts for electoral, communication, and/or compliance matters.)
Campaign Background
Campaign/Candidate Name
*
Office Campaigning For (e.g. "US Congress - MO District 5" or "Vote YES for Prop A"
*
Office Type (e.g. A district attorney or attorney general would fall under the Law Enforcement category. A school board would fall under education. *Multiple categories can be picked if appropriate*)
*
Municipal
County
State
Federal
Judicial
Law Enforcement
Party Position
Education
Labor
Housing/Rent
What ballot line is the candidate running on? *Note: Nonpartisan and Independent are not the same! Nonpartisan means none of the candidates in the election have a designated party preference on their ballot line. This is often the case in municipal, county, school board, and judicial races, as well as the Nebraska Unicameral. Independent or Not Affiliated means the candidate does not have a party preference on their ballot line in a partisan race where other candidates may have a party preference listed. Being a socialist or being endorsed by a group like Working Families is not the same as running on a socialist ballot line or a Working Families Party ballot line.
*
Democratic
Green
Independent
Non-partisan
Socialist
Working Families
Other
Primary Election Date
*
-
Month
-
Day
Year
Date
General Election Date
*
-
Month
-
Day
Year
Date
Does the campaign's district overlap with any other DSA chapters?
*
Yes
No
Candidate Background
Is the candidate running as an open democratic socialist?
*
Yes
No
Is the candidate currently a DSA member?
*
Yes
No
Is the candidate an incumbent running for re-election?
*
Yes
No
Does the candidate intend to apply for National endorsement if chapter endorsement is given?
*
Yes
No
Does the candidate intend on using DSA's National Tech Committee's tools? (VAN, worksheets, compliance, etc.)
*
Yes
No
Candidate headshot
Browse Files
Drag and drop files here
Choose a file
The head shot will be used in our graphics in the event of an endorsement. If you are able, please submit an image of the candidate with ALL of the following specifications: 1) The image is a cutout of the candidate with a *transparent* background. 2) The image is of the candidate from at least the chest up. 3) The candidate's head, shoulders, etc. are not cut off by the edges of the image or blocked by any other obstructions in the photo. 4) Ideally the image is in color and not black & white or monochromatic. 5) If you are applying for a ballot measure campaign, submit an image of the campaign's logo or your chapter's logo if one does not exist.
Cancel
of
Candidate Commitments
In the following section, we ask if the candidate will pledge to various commitments. Failure to agree to any one or more commitments does not necessarily result in an automatic non-endorsement. Endorsements are ultimately decided democratically via a vote made available to all members in good standing within the chapter. However, responses to this section and others will be made available to the electoral committee membership before the electoral committee interview and will be made available to chapter membership before the chapter-wide interview.
If the candidate does receive the endorsement of the chapter, do they pledge to campaign as a Socialist or Democratic Socialist and to emphasise the significance of their commitment to the working class in opposition to the interests of the corporate Democratic Party?
*
Yes
No
If the candidate does receive the endorsement of the chapter, do they pledge to endorse all other chapter endorsed candidates?
*
Yes
No
If no, why?
*
If the candidate does receive the endorsement of the chapter and they are elected, do they pledge to vote alongside other socialist legislators and other chapter endorsed candidates as a bloc?
*
Yes
No
If the candidate does receive the endorsement of the chapter and they are elected, do they pledge to attend monthly meetings with the Socialists in Office Subcommittee or other KCDSA body to support their term and accountability with the chapter?
*
Yes
No
If the candidate does receive the endorsement of the chapter and they are elected, do they pledge to adhere to the recommendations of the Socialists in office Subcommittee or other KCDSA body supporting their term?
*
Yes
No
If the candidate does not receive the endorsement of the chapter and the chapter chooses to endorse another candidate contending for the same position, do they pledge to drop out of, or not run in that race?
*
Yes
No
Does the candidate understand that failure to uphold pledged political commitments can result in revocation of endorsement and possible public censure by KCDSA?
*
Yes
No
Does the candidate commit to upholding and defending the values and platform of the National DSA during their campaign and, once successfully elected, for the duration fo their term?
*
Yes
No
If no, what aspect(s) specficially in the platform of the National DSA do you disagree with?
*
Submit
Should be Empty: