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ARP Endorsement Request Form & Questionaire
Please Place your cursor (mouse) in each box below and then double click - you will then be able to just type in your answers:
First Name *
Last Name *
E-mail *
Running For *
Running As *
Example: Democrat, Republican, Green Party, Libertarian, Independent or some other third party candidate?
PERSONAL DATA
Full Name As It Will Appear on the ballot: *
Address *
City *
State *
Zip *
Re-Type Email *
Phone *
Fax *
Marital Status *
Children *
Education *
Occupation *
Brief Work History *
Have you ever run for Politcial Office? *
Political History *
Political Experience *
Political affiliations, member of Republican, Democratic, Green Party, etc... *
Membership or Clubs (Moose Lodge, Elks. etc.) *
Military history: Where, When, Rank, Discharged (type NONE if not applicable) *
Political Activities and/or Involvement to Date: (Political and/or Activist) *
What are your Pet peeves? *
What are your Aspirations? *
YOUR STAND ON THE ISSUES
Do you think it would be possible, practical and desirable to halve the national debt by the year 2009? *
Do you think a portion of any future windfall ‘surpluses’ should be mandated for this end? *
Do you think the US Congress could/would/should pass a law/Constitutional Amendment requiring the Federal Government to have a balanced annual budget? *
Do you think the Federal Government could/would/should be made more efficient and cost-effective by consolidation of agencies and their assigned functions, such as purchasing and accounting? *
If you were elected, would you support such efforts to do so, knowing that 1000s of people would loose their jobs, even among your constituency? *
Do you support the total abolition of “soft money” campaign contributions from any sources? *
If asked by a colleague, would you be willing to sponsor/co-sponsor a Pension/retirement/HMO plan bill for yourself and your colleagues with the same level of benefits/payments currently in practice in the private sector, for your public service salary level?
Type answer here *
If asked by a colleague, would you be willing to sponsor/co-sponsor a bill calling for the implementation of a National Initiative/Referendum, to be exercised as a part of the national election every four years?
Type answer here *
Do you believe that Medicare/Medicaid cost/benefits can be improved without increased premiums? *
Do you believe that many government/political functions, including campaigns, can make use of the internet advantageously? *
Do you feel that the IRS and the present income Tax system can be simplified, reduced in size or perhaps eliminated altogether? *
Do you believe that all third party candidates with a mathematical possibility of winning an election should be included in public debates? *
Do you believe that state legislatures could/would/should enact legislation allowing third parties to qualify for ballot access more easily? *
Do you believe Congressional Districting ought to be implemented by the court, not by political parties? *
Do you believe the Electoral College should be replaced by popular vote? *
Do you believe that all states should adopt proportional representation by Party? *
Do you believe that any public official, including elected state and/or federal officers, should be subject to recall by their constituents? *
Do you believe that open primaries and unified, standardized balloting would be desirable and effective for persuading eligible non-voters to vote? *
Do you agree with term limits, and if so, what offices? *
Do you believe that it is time for the U.S. to normalize relations with Cuba? *
Do you believe that the U.S. should make every effort to maintain it status as a world leader in the United Nations, and should pay its outstanding dues to that body and keep future obligations paid in a timely manner?
Type answer here *
Do you believe that the Presidential “fast track” privilege for treaty negotiations should be revoked? *
Do you believe that the only ‘free’ trade is FAIR trade, that human rights, labor rights economic and ecologic considerations should be part of the bottom line in any trade agreement?
Type answer here *
Do you believe that the continued independence and continuing world leadership of this nation depend on a broad manufacturing, agricultural and ecological base, not the globalization of all our human and natural resources to the service of international Corporations?
Type answer here *
Are you in favor of revision of our immigration laws/quotas in such a way that would take into account future social and economic stability while still preserving the historical tradition of our nation as the worlds melting pot?
Type answer here *
YOUR CAMPAIGN APPROACH:
What makes you think you can win an election? *
What do you plan to accomplish if you win the election? *
Do you have a campaign manager and staff? *
In our effort to evaluate the possibility of a successful campaign we would like to know a little about your campaign strategy. This information will never be published and will be kept in confidence.
Do you intend to wear out some shoe leather in a door to door campaign? *
Are you going to use newspaper ads (local or national ), bill boards? *
Do you have plans for a fund raising effort? If so, what are those plans? *
You do not have to be a member of the American Reform Party or any other political party to gain the endorsement of the ARP (but it wouldn't hurt). You just have to be the kind of person who favors a big piece of the American Reform Party Platform
ARP Platform: http://www.americanreform.org/platnat.html
If you are endorsed by the American reform party, and if you are thereafter elected, do you promise to TRULY serve, protect and defend ALL the elements of the Constitution of the United States of America and not just the parts with which you happen to agree, and to that end, you will not sacrifice your own personal integrity, nor the integrity of this Nation and this Party, for political expediency or personal gain?
Choose one *	YES, I promise to truly serve, protect and defend NO, I do not promise to truly serve, protect and defend
PLEASE USE THIS SPACE FOR ANY ADDITIONAL COMMENTS OR QUESTIONS
YOUR PRIVACY CONCERNS:
Your Stand On The Issues will not be made public unless you add your permission to do so. NOTE: ALL PERSONAL DATA WILL ALWAYS REMAIN PRIVATE.
Private or Public? *	YES, make my answers public NO, keep my answers private