California Democratic Party 2022 Endorsement Registration Form - Statewide Candidates - Page 1 of 3

Filing Deadline:

-Deadline for Candidates for Statewide Office and Board of Equalization who will be participating in the Statewide Endorsing Caucus: Thursday, February 3, 2022, 5 PM.

Viability Threshold:

For more information about the Viability Threshold, please review the Statewide Candidate Viability Assessment for California Democratic Party Endorsement Consideration Eligibility in the 2022 Elections Memo

Instructions:

This form is for Statewide Candidates (Constitutional Officers, U.S. Senate, and Board of Equalization Candidates) who wish to seek the California Democratic Party's endorsement consideration in 2022. The campaign public address, social media aliases, website, and campaign phone may be posted on the CDP website. All other information is for internal use only and will not be shared publicly.

For endorsement-related information, please visit the CDP Endorsements webpage. If there are any questions, please contact ben@cadem.org or (818) 441-4430.

Office Sought *

Candidates for U.S. Senate only need to fill out this form once.

Candidate First Name *

Candidate Last Name *

Elected Position/Present Occupation *

Committee Name *

Committee # *

Campaign Public Physical Address *

City *

County

Zip *

Other Counties in District

Candidate's Voter Registration Address *

City *

County

Zip *

Candidate's Permanent Mailing Address *

City *

County

Zip *

Campaign Phone

Campaign Fax

Campaign Email *

Candidate Phone - Mobile *

Candidate Phone - Day

Candidate Personal Email *

Website

Facebook

Twitter

Social Media - Other (Please Specify)

CADEM Staff will only be allowed to interact with representatives listed on this form for a candidate.

Staff Contact Information

	Name	Phone	Email
Campaign Manager	Name	Phone	Email
Consultant	Name	Phone	Email
Press Secretary	Name	Phone	Email
Key Contact #1	Name	Phone	Email
Key Contact #2	Name	Phone	Email

Treasurer (or Name of Person Filing Campaign Reports) *

Campaign Report Filing Address *

Treasurer Phone

Treasurer Email *

Email of the person who should receive the CDP Endorsement Registration Form submission confirmation. *

CDP List Terms of Use: The California Democratic Party (CDP) Democratic State Central Committee (DSCC) Member List is only to be used by the requester for communicating with DSCC Members regarding official CDP business, including but not limited to the CDP endorsement process, matters before CDP Standing Committees, and events taking place at CDP Conventions and Executive Board Meetings. The list may not be transferred, sold, duplicated, posted or published in any medium, in whole or in part. The list may not be used for commercial or any other purposes not authorized by the CDP. Unauthorized use of the list beyond permissible purposes is strictly prohibited. Failure to adhere to the terms will result in revocation of the requester’s right to use said list, loss of the requester’s right to request DSCC Member Lists for a period not to exceed five (5) years, and, if applicable, prosecution or other legal action.

The CDP DSCC Member List is as of the deadline prescribed by the CDP Bylaws and Rules. No changes may be made to the list past that deadline except as permitted by the CDP Bylaws, or as necessary to mitigate possible issues (e.g., voter registration discrepancy or changes, voter contact information update) or clerical error.

If you have any questions about the DSCC list, please contact the CDP Director of Party Operations Emma Harper at (916) 250-1307 or email - emma@cadem.org and operations@cadem.org.

By typing my initials in the box below, I affirm that I have read and agree to the DSCC list terms of use (above). *

By typing my initials in the box below, I affirm that I am aware that the list of Democratic State Central Committee Members (State Delegates) may change, and it is my responsibility to request an updated list. *

By typing my initials here, I affirm that I have been provided a link to and read the most current CDP Platform (cadem.org/platform). *

By typing my initials here, I affirm that I have received, read, and will abide by the CDP Code of Conduct. (cadem.org/code-of-conduct/). *

By signing this form, I acknowledge that I am a registered Democrat seeking the endorsement of the California Democratic Party (CDP). I agree to comply with the CDP’s By-Laws and I will seek to resolve any and all challenges or other disputes in accordance with the CDP By-Laws. I am seeking this partisan office with the Democratic Party as my party preference. *

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Date (mm/dd/yy) *

Please upload a high-resolution portrait photo of the candidate. (This must be an image file) *

Please upload a one page biography of the candidate. *

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