Fresno County Republican Party

Candidate Endorsement Request Form

Thank you for providing the requested information. Your commitment to transparency is appreciated. Please submit this form along with your other application materials. If you have any questions or concerns, please contact us. All information provided will be treated with confidentiality to the extent permitted by law. Thank you for your cooperation. This form is for informational purposes only and does not constitute an official candidacy or endorsement.

First name

Last name

Date of Birth

Month

Day

Year

Phone

Multi-line address

Country/Region

Address

City

Zip / Postal code

Gender

Ethnicity

Religion

Marital Status

For which political office are you running?

What is your party registration?

Proof of Residency (Utility bill)

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Political Experience:

List any previous political offices held (with dates):

List any current political offices held (with dates):

List any political campaigns previously participated in (with roles and outcomes):

References:

Please provide contact information for at least two references, including their name, phone number, email address, and relationship to you:

Reference 1

Reference 2

Candidate Background:

Background:

Educational Background (Degrees/Diplomas):

Professional Background (Current and previous employment):

Other relevant experiences or qualifications:

Skills: List any relevant skills, such as public speaking, fundraising, policy analysis, community organizing, etc.:

Criminal Convictions: Have you ever been convicted of a crime? If yes, please provide details:

Community Background: Describe your involvement and contributions to your local community, including any relevant community organizations or activities:

Public Engagement: Describe your experience in engaging with the public and your approach to connecting with constituents:

Lawsuits: Have you ever been involved in any lawsuits, legal disputes, or civil actions? If yes, please provide details:

Vision: Describe your vision for the office you are running for and the goals you hope to achieve if elected:

Volunteering: Describe any volunteering or community service you have participated in and the organizations or causes you have supported:

Additional Information: Is there any additional information you would like to provide that may be relevant to your candidacy?

By signing below, I certify that the information provided above is true and accurate to the best of my knowledge. I understand that any false or misleading information may result in disqualification from consideration or revocation of endorsement.

Date

Month

Day

Year

Signature

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