Please complete this as best as possible in order that you are presented properly to voters.
Your name as you would like it displayed
Please select the Civic Election you are running in.
Select only one box
I am running for
Your email address that you want to share with voters.
Short Bio. We will use your Twitter Bio unless you provide an alternative here. Please limit to 250 characters. Twitter is 160.
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The below information is for our internal use only.
Private email address for our internal use.
Contact phone number for our reporters
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