Political Candidate Eligibility Verification Form
Please fill out the form to verify your eligibility as a political candidate.
Full Name
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Citizenship Status
Citizen
Permanent Resident
Other
Residency Duration (years)
Have you ever been convicted of a felony?
Yes
No
Are you currently registered to vote?
Yes
No
Submit
Should be Empty: