DWCF Candidate Endorsement Request and SurveyThe submission deadline is:Candidate Endorsement RequestCandidate Name First Last Office Sought District Are you a registered Democrat in the State of Florida Yes NoHome Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Campaign Address: Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Campaign Email: Have you previously run for elected office prior to this race? If so, provide details:Campaign manager or other contact name: First Last Contact informatin for your campaign:Campaign website: What is the date of your GENERAL election? MM slash DD slash YYYY Name of current/past primary opponent: First Last If running, are you in a non-partisan race? Yes NoAre there other registered Democrats vying for this seat? Yes NoAdditionally, if this a non-partisan race, have you confirmed with your local authorities that you may accept PAC/PC monies? (Some municipalities do not allow.) Yes NoWhat is the date of your GENERAL election? MM slash DD slash YYYY What is the last date to file for this race? MM slash DD slash YYYY Have you qualified? Yes NoBy petition? Yes NoBy filing fees? Yes NoIf filed by fees, indicate amount:In this space, please give a summary of your political involvement and activity over the past 10 years. Include any committees, civic groups, campaigns, training or conventions you have participated in. (Character limit 800 words)Please sign the statement: I am seeking endorsement by the Democratic Women's Clubs of Florida, Inc. (DWCF). I have completed the candidate survey and suppor teh DWCF platform. If elected I will support and advocate for these principles.Name First Last Date MM slash DD slash YYYY Candidate SurveyThe DWCF Candidate Survey will be used to assist us in selecting candidates for endorsement and support in their election bid. The questions are based upon the platform of the DWCF. And cover issues important to all Floridians, especially women and families.Please indicate your responses to the below questions.REPRODUCTIVE JUSTICE /WOMEN'S RIGHTS1. Do you support the ability of a woman to control her reproductive health?2. Will you oppose any laws restricting a woman’s access to abortion?3. Do you support the availability of contraceptives and medically accurate information so that women will have the ability to make informed decisions about their medical care?4. Will you oppose any efforts to restrict funding for Planned Parenthood?EDUCATION5. Do you supports Title IX, the Federal law prohibiting gender discrimination in education, requiring fair treatment for pregnant and parenting students, and protecting students from sexual harassment and bullying?6. Do you support providing high quality PUBLIC education to all children, Pre-K through 12th grade?7. Will you oppose diversion of tax dollar funding for construction and maintenance of for-profit charter schools and private schools?8. Will you oppose politicization of school board positions and proposals to make such positions partisan contests?9. Do you support the ability of local school boards to make decisions specific to the needs of local schools in regards to health care, school library resources and other local issues?ENVIRONMENT10. Do you support environmental regulation for air, water, and land; including aquifers, estuaries, springs, and waterways?11. What is your stand on fracking and offshore drilling in Florida?12. Will you support and reinforce the will of Floridians to fully fund the Florida Land and Water Initiative?EQUAL RIGHTS AND DESCRIMINATION13. Will you support ratification of the Equal Rights Amendment?14. Do you support equal pay for equal work, including the Paycheck Fairness Act?16. Will you support maintaining and strengthening these important programs?MEDICARE, MEDICAID AND SOCIAL SECURITY16. Will you support maintaining and strengthening these important programs?17. Do you support removing the wage cap on Social Security earnings in order to increase its stability?18. Will you support Florida Medicaid expansion?POVERTY, WORK AND THE ECONOMY19. Do you support increasing the minimum wage?20. Do you support a policy that provides paid sick leave?VIOLENCE21. What is your stance on gun safety policy?VOTING RIGHTS22. What measures do you support to increase voter participation and to eliminate voter suppression?22. What measures do you support to increase voter participation and to eliminate voter suppression?CRIMINAL JUSTICE23. What changes would you propose in the criminal justice system to reduce mass incarceration?24. Will you accept campaign donations from private prison companies, PAC’s or lobbyists associated with private prisons?Thank you for completing our request for endorsement and our candidate survey. Please submit a letter of recommnedation from a DWCF Club or Region. If you would like a copy of your entries, print a copy or click Print and then save as a PDF BEFORE YOU PUSH SUBMIT.
