Candidate Submission Form

* Denotes a required field

Candidate Name *

Election State *

Seat running for *

If House, what District?

If Sheriff, what county?

Candidate Political Party *

Candidate Website *

Candidate's Donation Page
Please provide a link to the Donations page on the candidate's website.

Does the candidate adhere to a conservative platform *

Click for YESClick For No

Is the candidate the incumbent *

Click for YESClick For No

What year did the incumbent take office

If the candidate is not the incumbent, please specify the name of the incumbent and their party affiliation if he/she is running

Please list other candidates who are running for this seat and their political party. *

Referring Tea Party, 912 or other conservative Group

Referring Tea Party website

Please list the referring Tea Party City and State

Referring Tea Party or Conservative Group Contact Name and Position

Notable Endorsements
Please list any notable endorsements of the candidate (i.e. endorsing Tea Parties, The Independence Caucus, NRA, Sarah Palin, conservative groups, individuals, associations, etc.)

Candidate Bio *
Please provide a brief bio of the Candidate, preferably from his/her campaign website. Two to three paragraphs should be sufficient to direct the visitor to the candidate website for more info. (A series of yes/no/maybe questions is provided below as a platform overview.)

Submitter's Name *
Please list your first and last name. (Please note that your personal information will not be published on the website.)

Please list submitter's email address *
Please list your email address.

Submitter's Phone Number *
Please enter your phone number.

Submitter's Relation to Campaign *

Candidate Photo *
Please upload a photo of the candidate. Be sure to include the candidate's name in the photo name (i.e. john_smith.jpg), renaming the photo if necessary prior to uploading it.

CANDIDATE PLATFORM OVERVIEW

1. Is candidate pro-life *