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Step
1
of
6
16%
Account Information
Name
(Required)
First
Last
Email
(Required)
Password
We will create an account for you. You can come back, log in, and edit your candidate profile at any time.
Enter Password
Confirm Password
Office Information
Candidate on Record
NOTE: If your name appears in this list multiple times, select the primary office you are running for (not a Precinct position).
Select your name from this list
– Fill Out Other Fields –
This field is hidden when viewing the form
Linked Candidate ID
No candidate on record
My name wasn’t in the list
Level
(Required)
Select a Level
State
Legislature
County
Municipal
School District
College District
Special District
Precinct
Other
Other Level
County
Albany County
Big Horn County
Campbell County
Carbon County
Converse County
Crook County
Fremont County
Goshen County
Hot Springs County
Johnson County
Laramie County
Lincoln County
Natrona County
Niobrara County
Park County
Platte County
Sheridan County
Sublette County
Sweetwater County
Teton County
Uinta County
Washakie County
Weston County
Municipality
Office
(Required)
Select an Office
– Fill Out Other Fields –
This field is hidden when viewing the form
Linked Office ID
Party Affiliation
(Required)
Select a Party Affiliation
Democratic
Republican
Libertarian
Independent
Unaffiliated
Other
Not Applicable
Other Party
Contact Information
Address
(Required)
Street Address
Address Line 2
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Utah
U.S. Virgin Islands
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Virginia
Washington
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Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
ZIP Code
Primary Phone
(Required)
This phone is a cell phone
This phone is a cell phone
Alternate Phone
Online Presence
Website
Facebook
Twitter
YouTube
Instagram
Profile Image
Include a profile image (500px x 500px)
Drop files here or
Select files
Accepted file types: jpg, Max. file size: 5 MB, Max. files: 1.
Background
Biography
(Required)
Experience
(Required)
Education
(Required)
Community Activities and Memberships
(Required)
Candidacy
Why I am running
(Required)
Top 3 Priorities
(Required)
