PDX DSA 2019 SC Nominee Application

This form is for nominating 2019 Portland DSA Steering Committee candidates.

Please complete the fields below and click submit- you will receive a confirmation of receipt from PortlandDSAElection@gmail.com.

The Election Guide Bio/Statement of Purpose will be used in any Portland DSA Election Guide documents that introduce candidates to the electorate. This may serve as a statement about the candidate, their qualifications, background, intent, and/or any additional information pertinent to their candidacy. Please limit your statement to 250 words or less.

DEADLINES

All nominations must be submitted by 11:59 PM, February 2nd, 2019.
All nomination must be confirmed by the nominee by 11:59 PM, February 3rd, 2019.
All Statements of Purpose and/or Election Guide Bio/Statements must be submitted/confirmed by the nominee by 11:59 PM, February 3rd, 2019.

If you have any questions regarding this form, the nomination process, or other nomination/election matters please e-mail PortlandDSAElection@gmail.com or find us on PDX DSA Slack, channel #committee-elections

I'd like to nominate *

Myself Another Person

For the office of *

Portland DSA Co-Chair Secretary Treasurer Internal Organizing Committee Co-Chair External Organizing Committee Co-Chair Communications Committee Co-Chair At-Large Steering Committee Member

Your Name *

First Name Last Name

Nominee's Name

First Name Last Name

Your Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Nominee's Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Your Phone Number *

- Area Code Phone Number

Nominee's Phone Number

- Area Code Phone Number

Your E-Mail Address *

example@example.com

Nominee's E-Mail Address

example@example.com

Candidate's Election Guide Bio/Statement of Purpose (250 words or less)