NASW-NYS PACE State Questionnaire
National Association of Social Workers (NASW) • Political Action for Candidate Election (PACE)

188 Washington Ave • Albany, NY • 12210 • (518) 463-4741
https://naswnys.org/about/leadership/committees/pace/ • info.naswnys@socialworkers.org

Thank you for your interest in the NASW-NYS PACE Endorsement. Please complete all of the questions on this form. If you have any questions, you can reach out to Olivia Knox at OKnox.naswnys@socialworkers.org.
Sign in to Google to save your progress. Learn more
Candidate Name *
Candidate Pronouns *
Does the candidate running for office hold any of the following degrees: *
Campaign Manager Name *
Campaign Address *
Campaign Phone Number *
Campaign Email *
Campaign Website *
Personal Website *
Campaign Facebook Handle *
Campaign Instagram Handle *
Campaign Twitter Handle *
Campaign and/or Personal LinkedIn Handle *
Other Social Media Account Handles *
Office Sought *
District # *
Do you have a Primary Election? *
If you answered "yes" to the above question, what is the date of your primary election?
MM
/
DD
/
YYYY
Date of the General Election *
MM
/
DD
/
YYYY
List any previous elected and/or political offices held:
Endorsements Received/Sought for this Election: *
Are you seeking endorsement, financial contribution or both?
 *
Name and Title of Person Completing Form *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms