Candidate Name *

First Name

Last Name

Have you already declared your candidacy for this election cycle?

Your response does not affect your likelihood of endorsement.

Yes

No

Have you run for or held public office before?

Your response does not affect your likelihood of endorsement.

Yes, federal office

Yes, local or state office

No

I Identify My Ethnicity As:

Please select any of the following that apply (optional)

Asian

Black/African

Caucasian/White

Hispanic/Latinx

Native American

Pacific Islander

Other

Prefer Not to Say

I Identify My Gender As:

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Male

Female

Nonbinary

Other

Prefer Not to Say

I Identify My Sexual Orientation As:

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Straight/Heterosexual

Gay or Lesbian

Bisexual

Queer

Other

Prefer Not to Say