National Delegate Ballot Petition Form

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National Delegate Ballot Petition Form - 2024

Any registered Maine Democrat may use this form to take out a petition to get on the ballot to run for National Delegate.

DSC ballot petitions require 25 signatures of State Delegates and Alternates to the Maine Democratic Party Convention from the Delegate Category you select to qualify for the State Convention ballot. Petitions will be circulated electronically by the MDP with State Delegates and Alternates. The deadline to take out a petition and meet the signature requirement is 5/17/24.

If a petitioner gets the required signatures, they will appear on the State Convention ballot to be voted on by State Delegates in May.

Email *

Delegate Category [may select more than one]
*

Congressional District *25 signatures from delegates/alternates within congressional district

At-Large *25 signatures from any delegate/alternate in the state

Public Leader/Elected Official ("PLEO") *Defined as any Democrat who is an elected official or an elected officer/committee chair of a state, county, regional, or municipal democratic committee* *25 signatures from any delegate/alternate in the state

Required

First Name *

Middle Name or Initial

Last Name *

Street Address (physical/voting, not mailing) *

Town *

Zip Code *

Phone Number *

Gender Identity
*

Female

Male

Non-binary

Please note if you belong to any of the following categories [check all which apply]

Person with Disabilities

Youth (36 and under)

LGBTQ+

African American

Asian and Pacific Islander American

Native American

Hispanic/Latin American

Campaign statement to Delegates & Alternates about why you believe you are a good choice to represent Maine as a National Delegate

A copy of your responses will be emailed to the address you provided.

Submit

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