2020 Candidate Endorsement Application

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Candidate Name* This field is required.
Prefix
First Name
Last Name
Suffix
2
Seat and District* This field is required.Please indicate the seat and district for which the candidate is running.
For which seat is the candidate running?
In which district?
3
Party Affiliation* This field is required.Please indicate your party affiliation.
Democrat
Republican
Independent
Other
4
Phone Number* This field is required.Please provide your prefered phone number.
(###) ###-####
5
Campaign ManagerPlease provide the full name and phone number of the candidate's campaign manager or key staff member.
Campaign Manager / Key Staffer
Campaign Manager / Key Staffer Phone Number (###) ###-####
6
Email for Point of Contact* This field is required.Please enter the email address for the person responsible for receiving information on application status.
example@example.com
Confirm Email
7
Is the candidate an incumbent?* This field is required.
YESNO
8
Has the candidate held office in the past?* This field is required.
YESNO
9
Which offices?Type the title of office held by the candidate below. Select the "add more" button to add additional offices.
10
Please review the 2022 platform below* This field is required.You'll sign and date on the next page.
11
Please sign the pledge
12
Date of signature
Date
Month
Day
Year
13
As a candidate for elected office, I support -- in principle -- the 2022 Nevada Recovery PAC / Recovery Advocacy Project platform.* This field is required.
YESNO
14
I will engage with the organized recovery community on issues relevant to addiction and mental health recovery during my tenure as a servant of the people of Nevada.* This field is required.
YESNO
15
The most important thing I can do as an elected official who supports recovery choices for people with addiction and mental health challenges is…* This field is required.
0/300
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Ok
Ok
16
I stand up for recovery because recovery is…* This field is required.
0/300
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Large
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Small
Ok
Ok
17
I believe the most important way recovery advocates can support recovery friendly laws is to…. * This field is required.
0/300
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Ok
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Please sign to certify all your responses to the Candidate QuestionnairePlease print your name below.
First Name
Last Name
19
Date of completion* This field is required.
Date
Month
Day
Year
20
Signature* This field is required.
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As part of our effort to keep Recovery PAC transparent and accessible, we have formed a Bipartisan Endorsement Committee. Candidates will be invited to be interviewed at the committee's discretion. It is highly encouraged that each voting member participate in the candidate interviews. Accommodations will be made for digital video meetings via Zoom.

Each candidate will be ranked on a serious of factors, which include:

Responses to the candidate questionnaire

Electability

Leadership

Engagement with Recovery PAC and the wider recovery community.

Any other component relating to the personal traits and integrity of the individual, deemed relevant to the committee.

*Please note, the committee reserves the right NOT to endorse in any race for any reason.

Each voting member has the option not to vote for a particular candidate.

We want to thank you for contributing your time to play a role in seeking legislative action for Recovery Issues. Recovery PAC is the first of its kind and we are honored you can join us in this historic moment.
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Acknowledgement of understanding* This field is required.
I have read and understand all sections of this endorsement application and the endorsement process.
Should be Empty: