Action Network

Local Councillor Candidate Application Form

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Are you a Green Party Member? * Yes No

Are you eligible to stand for local elections in England? * Yes No Not Sure

Are you at least 18 years old? * Yes No

Are you legally disqualified from standing for public office? * Yes No

Do you live in, work in, or have another qualifying connection to the council area? * Live in Work in Other qualifying connection Not sure

Which role are you interested in? (Select all that apply) * Local councillor candidate Non-Target candidate Parliamentary Not sure yet

In a few sentences, why are you interested in standing for election?

If selected, how much time could you realistically commit during an election campaign? * More than 8hr a week Between 4-8hr a week Less than 4hr a week Not sure yet

Have you previously sood for election? * Yes No

Have you held any of the following roles? Councillor Campaign volunteer Party officer Community group organiser None of the above

Are there any skills or experience you think would be useful?

Would you require any reasonable adjustments or additional support to take part in the selection or campaign process * Yes No Prefer not to say

If yes, please tell us anything you're comfortable sharing.

How would you like to proceed? * I'd like to submit this form and be considered I'd like an informal conversation before deciding

I confirm that the information provided is accurate and true to the best of my knowledge.

I consent to the local party contacting me about candidacy and selection.

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