Bethlehem Democratic Committee (BDC) Member Interest Form

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Thank you for your interest in serving on the Bethlehem (NY) Democratic Committee! Please provide us with a bit of information about yourself, and we will reach out to you when a position opens up. Until then, there are many ways to get involved. We look forward to working with you!

Last name *

First name *

Email address *

Please tell us at what email address you can be reached for committee business.

Phone number *

Please tell us what telephone number(s) we can reach you at about committee business using 518-xxx-xxxx format.

Street address *

City *

Zip *

Election district

Please provide us with the election district you reside in. To verify your ED go to: https://voterlookup.elections.ny.gov/

Election District *

Party registration *

Are you a registered Democrat living in the Town of Bethlehem, New York?

Yes

Other:

Length of time as registered Democrat *

How long have you been a registered Democrat i.e less than 1 year, 1-3 years, over 3 years

Political experience *

Please let us know if you previously served as an elected official, candidate for office, or as committee member. Check all that apply.

I am or have been an elected offical

I have previously run for office unsuccessfully

I have been a Democratic party committee member in the Town of Bethlehem or elsewhere

Other:

Required

Campaign experience *

Please tell us about any volunteer experience in Democratic party or campaign work. Check all that apply.

Door to door speaking with voters

Door to door literature drop

Phone banking

Communications

Fundraising

Sign distribution

Other:

Required

Current employment status *

Please tell us if you are employed outside the home, a community volunteer, or retired. Check all that apply.

I am currently employed

I am a community volunteer

I am retired

Other:

Required

Employer

If employed, please tell us what business, nonprofit, or government entity you work for. If you are an entrepreneur please tell us the name of your firm.

Committee member responsibilities *

Are you familiar with the responsibilities and expectations of serving on the Bethlehem Democratic Committee and Albany County Democratic Committee?

Yes

Somewhat

Other:

Prospective committee member interview *

If you have been interviewed by a BDC officer, please provide the name of that person and the date of the interview.

Anything else you want to tell us?

Submit

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