Animal Protection Party of Canada: Candidate Application Form

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Email *

CANDIDACY LEVEL:

If you'd like to become a candidate but are unsure about the process, that's okay! We can chat about your options. If you have time only to get your name on the ballot and perhaps do an interview here and there, you can be a "Paper Candidate". If you'd like to be really active in your community and do canvassing, attend debates and provide interviews for media, that's an option, too.

Candidacy Level *

Undecided (if you're unsure about time commitments and level of comfort)

Paper Candidate

Candidate

RIDING INFORMATION:

This section outlines where you are planning on running as an APPC Candidate.

In which Electoral District are you seeking to be nominated? *

In which Electoral District do you currently live? *

How long have you lived there? *

PERSONAL INFORMATION:

Tell us a bit about yourself.

Are you a Canadian citizen? *

Yes

Your Surname (last name) *

Your Given Names (first and middle) *

Other names you commonly use (nicknames) *

Date of Birth *

YYYY

Place of birth (City/Province/Country)

Home Address (Street, City, Province, Country, Postal Code) *

Home, Work, Cell Phone numbers *

Email Address *

Please list all social media accounts (Website, Username, Active Since) Where possible, please include hyperlinks to profile pages. *

Are you vegan? If no, please describe. *

How would you describe yourself as an animal advocate? Please share any experiences as an animal activist or advocate if applicable.

What is your educational background?

POLITICAL INVOLVEMENT:

Please disclose any prior political, NGO, or non-profit experience.

Have you ever run as a candidate for a political party? If so, please include details of party, date, and office sought. *

Have you ever run for municipal office or local government? If so, please include details of office sought, date, and result. *

Have you ever held a position with a political party other than running as a candidate? If so, please list any positions held or sought, and the period during which the positions were contested or held. *

What environmental, social, recreational, cultural, community, or other organizations have you ever been a member of?

Section 65 of the Canada Elections Act is copied below. According to Section 65 of the CEA, are you eligible to be a candidate in the next federal election? *

Yes

Are there any APPC policies that you do not support? If yes, please provide details. *

WORK HISTORY:

Employment & References.

Please list your professional designations and any professional associations to which you belong:

Please list all employment for the past 10 years, starting with the most recent. *

Reference #1 from previous employment, volunteerism, advocacy, etc.: Name Phone, Email, Context

Reference #2 from previous employment, volunteerism, advocacy, etc.: Name Phone, Email, Context

DISCLOSURE:

Are you aware of any other information, including information that could be found on the internet, not otherwise disclosed in this form that, if made public, could damage your electoral prospects or the electoral prospects of the Animal Protection Party of Canada, could compromise your effectiveness as a Member of Parliament, or could be used by other candidates or parties against you or the Animal Protection Party of Canada? If yes, please provide details. *

Candidate Signature

Date

YYYY

Please return completed form:

By email: lia@animalprotectionparty.ca

By mail: Animal Protection Party of Canada, 221 Broadview Avenue, Suite 101, Toronto, ON M4M 2G3

Send me a copy of my responses.

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