Published on Indiana Progressives (http://www.indianaprogressives.com/test1006)

Submission For Support

If you would like Indiana Progressives to consider you or a candidate you support for endorsement please fill out the following form.

Candidate's name as it will appear on ballot
Street address
City, State(IN), Zip Code
Main contact number xxx-xxx-xxxx
2nd Phone (optional)
your email
Office candidate is seeking
Have you held elective office before and if so what offices.
The district or precinct (if applicable)
Reason for running or goals after elected
Do you consider yourself a progressive and why?
What type of support do you need most
Source URL:
http://www.indianaprogressives.com/test1006/test1006/node/67