Action Network

About You

Pronouns *

Opt in to mobile messages from Build the Bench. Message and data rates may apply. Reply STOP to unsubscribe.

Birthday *

Gender identity *

Race/ethnicity * Asian/Native Hawaiian/Pacific Islander Hispanic/Latino/Latinx Multi-racial/Multi-ethnic Native American/Alaska Native Prefer not to share race/ethnicity White/Caucasian Other...

Affinity/identity Chronic Illness or Disability First-Generation and/or Low-Income Healthcare Professional Immigrant Labor Union Member LGBTQIA+ Muslim Parent, Guardian, or Caregiver Public Service Alum (Peace Corps, Public Educator, etc.) Refugee STEM Background Teacher Veteran Woman-Identifying (Including Transgender)

Which best describes your current status? * First-time candidate Currently serving as the incumbent for the office I'm seeking Currently serving in a different elected office Previously held elected office but am not currently serving Previously ran for office but was not elected

Please list any previous elected offices or candidacies (including your current office, if applicable). For each, include: Office, Jurisdiction, Year(s), and Outcome (Elected, Appointed, Lost, or Currently Serving).

Please list any local community, civic, political, labor, professional, or nonprofit organizations with which you are currently or have recently been involved. Include your role or level of involvement (e.g., member, volunteer, board member, officer), approximately how long you have been involved, and whether the organization is current or past. *

Please upload a copy of your current resume and CV
Upload

In 250 words or less, please introduce yourself and explain why you are running for this office. Include your background, connection to the community, and why you want to serve. *

Relevant Policy Positions

This section is simply to get a high-level sense of issues you are passionate about or where you stand, so we can get your contact information to endorsing organizations who are aligned with your positions. We will take the broadest view possible, so that when you take the next step with these organizations you can provide them with more detail. Some of these questions may not be relevant to your district or office. Please answer them from a personal perspective, if that is not the case.

Do you consider yourself pro-choice? * Yes No Rather not answer

Do you consider yourself to be supportive of fighting climate change? * Yes No Rather not answer

Do you support policies that create good-paying jobs, protect and/or strengthen workers’ rights, and build a more equitable economy? * Yes No Rather not answer

Do you support protecting and advancing LGBTQIA+ rights? * Yes No Rather not answer

Do you support policies that promote racial equity and combat racism? * Yes No Rather not answer

About the Election

Is the election partisan or non-partisan? * Partisan Non-partisan

Primary election date, if applicable

General election date *

What office are you seeking? *

District/locality of office sought *

List all primary and/or general election opponents, their parties, and note if the incumbent is running (if known).

About Your Campaign

Committee ID *

Committee email - leave blank if this is the same as your email

Campaign website URL

Endorsements received so far

Who is the best point of contact on your committee for communication – for example, a campaign manager – and their title and phone number? Leave blank if this is the same as the candidate/committee contact information.

Campaign Facebook URL

Campaign Instagram URL

Campaign X/Twitter URL

Campaign Bluesky URL

In 250 words or less, describe the dynamics of your district and campaign - include any political or policy considerations that endorsers should consider when evaluating your application. For example, if you won this seat, would there be a shift in the balance of power for this office or legislative body? Are there critical policies being presented, where your voice would make a substantial difference in the outcome (and if so, how). *

Campaign Finances

Overall fundraising goal *

Money raised to date *

Current fundraising commitments, even if the money hasn't come in yet *

Volunteer and Voter Contact Plans

How are you planning to mobilize volunteers to support your campaign? *

Which groups are you currently working with and/or who do you consider your strongest base(s) of support from a grassroots organizing perspective? *

Current Infrastructure and Needs

What technology systems are you currently using to organize your efforts (e.g., Google Workspace, VoteBuilder, Action Network, etc.)? *

If you could ask for three things (besides money) that would make a significant difference in helping you run for this office, what would they be (e.g., connections to high-quality volunteers; introductions to specific individuals; access to platforms or data, including voter file data)? *

Common Candidate Application