Push the Line Georgia Black Candidate Search
Sign in to Google to save your progress. Learn more
Email *
First Name *
Last Name *
What is your email address? *
What is your cell number? Pease check your spam messages for text messages *
What City do you live in? 

We are ONLY seeking candidates that live in Atlanta, Augusta, Columbus, Savannah or Macon)
 *

What position are you considering running for? 

VERY IMPORTANT!! We are ONLY seeking Local & State elected positions such as Mayor, City or County Commissioner, or State Legislator (i.e., State Representative or State Senator); we are NOT seeking U.S. Congressional or U.S. Senator Candidates. 

If you do not know WHAT position you would like to run for (that is ok!) WE WILL HELP YOU DECIDE! RIGHT NOW, WE NEED TO KNOW WHAT POSITION YOU ARE INTERESTED IN! 

 *
Why do you want to run for office? *
Will you commit to running in 2024?
 *
In order to prepare you for your 2024 run for office, will you commit to enrolling in the Push the Line Training program?  *
Are you a first-time candidate? If no, please tell us about your previous candidate experience. *
Please provide us with your brief bio  *
Are you available to meet our team in Atlanta for a face-to-face interview in April or May 2023? *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Communications Group. Report Abuse
Google Forms