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Campaign Resources Application -- 2 Parts

This is a quick application for basic CCC support.  If your campaign needs financial support, please fill out the Full Questionnaire

Green Party of the United States Coordinated Campaign Committee

Updated June 2, 2006

• Copy and paste this form into a new e-mail message and type or paste in your responses and supporting material. If you send attachments, please indicate clearly which sections they address. If you have media clips, endorsements, candidate bios, etc., on a web site, it is sufficient to provide links.

• The term "state" is used with all due respect to the colonial Green Parties of the District of Columbia, American Samoa and any other U.S. colonies that may organize affiliates of the Green Party of the United States, and is intended to apply equally to colonial Green Parties.

• Completed application and supporting material should be sent to brent@gp.org. 

• Questions should be directed to brent@gp.org OR call the CCC's Campaign Management Hotline at (202) 319-7194. 

Introduction

The Coordinated Campaign Committee is able to offer Green Party candidates the following types of support.

1. Website Template - Several website templates are available for candidate websites. Please fill out Part 1 of this questionnaire to gain access to the website templates

2. Media support -Press releases may be reviewed by a media savvy Green and press releases from a campaign may be posted on the national website. Please fill out Part 1 of this questionnaire to gain access to Media Support.

3. Use of National Donor Lists for district or selected zip codes - Lists of donors that have donated to the national party are available for candidates. Use of donor lists by a candidate is subject to state party approval. Please fill out Part 1 and 2 of this questionnaire to gain access to the donor lists.

4. Use of volunteer lists - The CCC collects lists of persons who have volunteered through the national party website in each state. Lists of volunteers may be made available to candidates. Please fill out Part 1 and 2 of this questionnaire to gain access to these volunteer lists.

5. Advice regarding the campaign's ballot access plan, fundraising plan, field plan, and media plan - Please fill out parts 1 and 2 of this questionnaire and the worksheet on which ever plan the campaign needs advice on. The plan will be reviewed by a member of the CCC.

Check all types of support you are requesting:

_____ Website templates
_____ Use of national donor list for district or selected zip codes (subject to state party approval)
_____ Volunteer lists through Green Wave
_____ Media Support 
_____ Advice regarding _______________________ 
_____ Other Support. Please describe _________________________________

Part 1. General Information

Office Sought (full title including district, ward, township, etc.):

Candidate's name, address, phone number(s), e-mail address:

Campaign manager's name, phone number(s), e-mail address:

Press secretary's name, phone number(s), e-mail address:

Treasurer's name, address, phone number(s), e-mail address:

Official name and address of campaign committee:

(Is this a campaign office? _Y _N)

Campaign web site:

Number of candidates for this office:

Number of seats:

Date of primary:

Date of general election:

Partisan or nonpartisan election?

Is the candidate a write-in?

Election agency web site (or other official site for election results):

Part 2: About the Candidate (optional)

Has the candidate run for office before? Y / N

If yes, for each previous election, please indicate the office, year, and results (number and percentage of votes) and the candidate's party affiliation at the time.

Is the candidate:
___ A person of color?
___ Female?
___ Gay, lesbian, bisexual or transgender?
___ Under 30?
___ Disabled?
___ Poor or lower class Income level?

Is the candidate a registered Green (or, if registration is not available in the state, is the candidate an official member of the state Green Party and not registered in any other party)?
If not, please explain:

Is the candidate a member of any other political parties? Please list. 

Is the campaign endorsed by the state Green Party and the local chapter? If not, explain.

Optional: 
If you are requesting media support, please provide any information that you feel might help the media committee cover your campaign.

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