CANDIDATE DECLARATION FORM
The Shenandoah County Democratic Committee
Declaration of Candidacy for the Democratic Nomination
For Shenandoah County Office(s)
I, _ , declare myself a candidate for the Democratic nomination for the office of _______________________ in the general election on November 7th, 2023.
In making this declaration, I certify that:
- I am a Democrat and not a member of any other political party, and I believe in the principals of the Democratic Party;
- I meet all requirements of state law to be placed on the ballot for the General Election;
- I am eligible to be the [position] under the laws of the Commonwealth;
- I do not intend to support, endorse, or assist any candidate who is opposed to the Democratic nominee in the next ensuing election;
- I will not participate in the nominating process of any other political party for the next ensuing election;
- I agree to abide by the Caucus Rules, the Virginia Democratic Party Plan, and all laws applicable to this nominating process and the next ensuing election.
PLEASE PRINT:
NAME________________________________________________________________________________
RESIDENCE ADDRESS____________________________________________________________________
CITY____________________________________________________________ ZIP__________________
MAILING ADDRESS (if different)___________________________________________________________
CITY____________________________________________________________ ZIP__________________
Phone (H) _____________________ (C) _______________________ (W) _______________________
E-mail _______________________________________________________________________________
SIGNATURE______________________________________________________ DATE________________
This Declaration must be received by Brad Skipper ([email protected]) by email by May 31st, 2023 by 5:00 PM.
For official use only:
Receipt date: Time: by: _
