Rochester GOP

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Candidate Interest Form

Please fill out the following form if you are interested in being a candidate (you must live in the City of Rochester to run for city council or city school board).

This form is used to identify potential candidates. Upon submission, you will be contacted by someone from the City Executive Committee. We promise that we won’t use them to spam you with advertisements.

You can also mail a completed form (download PDF here) to:
Rochester Republicans
590 Seneca Parkway
Rochester, NY 14613

Required fields are marked with

Personal Information

1. Name: A value is required.
2. Address: A value is required.
3. City/Town: A value is required.
4. State: A value is required.
5. Zip Code: A value is required.Invalid format.
6. Daytime Phone: A value is required.
7. Evening Phone:
8. Email: A value is required.Invalid format.
9. Cell Phone:
10. Best Time to Call: Anytime Morning Afternoon Evening

Interest

1. 1. I am interested in running for the following office(s):
   2. City Council
   3. City School Board

Experience

1. 1. I am interested in supporting a campaign.
   2. I have previous campaign experience.
   3. Please list the campaign(s) and year(s):

Affiliation

1. 1. I am currently registered as a Republican.
   2. If not, are you willing to register as a Republican?

Enter Security Code: