Survey - Are you ready to apply for a Women's Campaign Fund endorsement?

First, congratulations on your decision to run for office! WCF PAC is currently accepting application requests for the Federal and Non-federal elections. Please review the questions below before you begin the survey. If you answer no to any of the questions, you may not be ready to apply for WCF endorsement, and should further develop your campaign structure. Please feel free to give us a call with any questions at 202-393-8164.

1.

Name:


	Title:
*	First Name: Required
*	Last Name: Required
*	Email: Required
*	Street 1: Required
	Street 2:
*	City: Required
*	State / Province: Required
*	ZIP / Postal Code: Required
*	Phone Number: Required
	Yes, I would like to receive e-mail from this organization.
	Yes, I would like to receive postal mail from this organization.
	Remember me. What's this?

2.

Question - Not Required - Office Sought:

3.

Question - Not Required - Party:

4.

Question - Not Required - Date of Primary election:

Month

Day

Year

5.

Question - Not Required - Date of General election:

Month

Day

Year

*6.

Question - Required - Campaign Manager:

*7.

Question - Required - Campaign Manager Phone Number:

*8.

Question - Required - Campaign Manager Email:

9.

Question - Not Required - The WCF Mission Statement is, "The Women's Campaign Fund, a nonpartisan organization, is dedicated to dramatically increasing the number of women in elected office who support reproductive health choices for all." Are you in full agreement with this statement?

*10.

Question - Required - Why are you running for this office?

11.

Question - Not Required - Have you established a presence in your community? If so, please tell us how. If active, please provide links to the following: website,Twitter and Facebook.

12.

Question - Not Required - Have you created a campaign staff plan? If so, which key staff have you recruited for your campaign and are they volunteer or paid?

13.

Question - Not Required - Have you created a finance plan? If so, how have you implemented it and how much have money have you raised?

14.

Question - Not Required - Please note that not all WCF endorsements include financial support due to campaign finance law restrictions. Are you still interested in a WCF endorsement? If so, please describe how a WCF endorsement would benefit your campaign: