2021 Election Candidate Profile

2021 Election
Candidate Profile
Please accurately type your information in the form below. The Chamber will not edit your responses. They will appear in the booklets just as you type them in the fields. Please limit your responses, as each candidate will get one page in the informational booklet. Candidate Profiles are due by September 24th at 5:00PM.

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number {day} *

Phone Number {evening} *

Email *

Campaign Treasurer: *

Campaign Treasurer's Phone Number *

Occupation: *

Work History: *

Most recent political and/or community experience/elected office(s) held: *

I am seeking public office because: *

If elected, the top three issues/positions I will advocate are: *

Submit