CAF Candidate Application & Questionnaire

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Thank you for your interest in an endorsement from the Community Action Fund of Planned Parenthood of Orange and San Bernardino Counties.

INSTRUCTIONS:

Interview appointments will be scheduled on a rolling basis as questionnaires are received.

Signing and submitting this questionnaire constitutes acknowledgement that its contents are now part of the public record and may be reproduced and distributed by Planned Parenthood Affiliates of California. We encourage you to be honest, ask questions, and let us know how we can help inform you.

We acknowledge that some questions may address issues that fall outside of the office that you are seeking but we hope to learn more about you and your policies for this and future campaigns. Please be specific and detailed in your answers. Incomplete questionnaires will not be accepted.

To learn about application deadlines for your specific race, please reach out to the Public Affairs Team at 714-397-1170 or PublicAffairs@PPOSBC.org.

Email *

Personal Background

Candidate Name *

Candidate Pronouns *

Candidate for *

Phone number *

Email *

Name of Campaign Committee and FPPC ID *

Please describe your professional background *

What sets you apart from your opponents? *

Have you ever sought elective or appointed office before? If yes, please elaborate: *

What are the most important policy issues you would like to focus on if elected to this seat? *

Which committee assignments are of highest interest to you? (if applicable)

What are the principal reasons you decided to run for this office? *

Campaign Information

Campaign Manager (Name, Email, Phone #) *

Fundraiser *

Fundraising Address *

All other paid consultants *

Campaign Website

Campaign Social Media platforms and handles/usernames *

Cash on Hand *

What is your budget for primary/general? Will you be utilizing personal funds? *

Please explain your policy on accepting campaign contributions from private businesses, PACs, and law enforcement unions. Are there any specific industries or PACs you will not accept donations from? Why or why not? *

Are you willing to participate in a Planned Parenthood briefing to ensure you have the most up to date information and vocabulary to use when discussing or making decisions about sexual and reproductive healthcare? *

Yes

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