2024 SD66 Statement of Candidacy Form
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Full Name *
Street Address *
City *
Zip Code *
Preferred Phone *
Email *
SD66 Precinct *
Positions Seeking (please select all that apply) *
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Date/Time Available for Screening (please select all that you're available for) *
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Statistical Information (please select all that apply)
Notes:
By checking this box I affirm that I am a resident of Senate District 66. *
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