ENDORSEMENT APPLICATION


PERSONAL INFORMATION


Full name:  

Date of birth:

Address:  

Phone:  

Email:  

Preferred contact method:

District running in:  

Position you are running for:  

State:  

Best Time to Reach You:  

 

EDUCATION


Highest Level Completed:  


MILITARY EXPERIENCE


Branch:  

Years of Service:  

Are you a Combat Veteran?  

If you answered yes: where and when were you stationed during your tours of Duty?  


EMPLOYMENT HISTORY


Current Employer:  

Title/Position:  

City and State:  

Start Date:  

End Date:  


Previous Employer:  

Title/Position:  

City and State:  

Start Date:  

End Date:  

 

POLITICAL HISTORY

Federal/National/Local:  

Title/Position:  

City and State:  

Start Date:  

End Date:  

 

GENERAL QUESTIONS

Where and for which position are you running?  

Are you running against a Veteran?   

Do you support the 2nd Amendment? 

3. Do you support our military no matter what?  

4. Do you support #Bringourtroopshome?  

5. Will you fight to protect veterans from anti-American attacks when elected?  

6. What is your current registered party affiliation?  

7. What are your top 3 campaign promises or platform topics?  

8. If not included above, what is your position on illegal immigration and/or Dreamers?  

9. Is there anything negative or defamatory in your past that you would like to explain upfront?  

10. Please provide us all of your social media account tags:  

11. Name and contact information for your campaign manager:  

12. What is your campaign website?  

13. Is there anything else you would like to add?  

 

 

I understand that this is an application for and not a commitment or promise of endorsement. I certify that I have and
will provide information throughout the review process, including on this application for an endorsement and in
interviews with Veterans for America First that is true, correct and complete to the best of my knowledge. I certify that I
have and will answer all questions to the best of my ability and that I have not and will
not withhold any information that would unfavorably affect my application for an endorsement. I understand that
misrepresentations or omissions may be cause for my immediate rejection as an applicant for an endorsement. I
hereby give permission to Veterans for America First to perform a background check.

 

Leave this empty:

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Signature Certificate
Document name: ENDORSEMENT APPLICATION
lock iconUnique Document ID: 69d19f3674dd5be6bbe547706ac97a0174949cea
Timestamp Audit
February 7, 2022 9:49 pm EDTENDORSEMENT APPLICATION Uploaded by Vladimir Lemets - [email protected] IP 69.65.88.169