Campaign Staff Application

Click here to download a printable PDF form.

Note: INDN’s List may share your application with any of our sister organizations. Other organization include (but are not limited to: Democracy for America, EMILY’s List, and 21^st Century Democrats).

Applicant's Name:*

Applicant's Address:*

City:*

State:*

Zip:*

Work Phone:*

Cell Phone:*

Email Address:*

Home Phone:*

Date of Birth:*

mm/dd/yyyy

Are you a registered Democrat:

If not, are you registered to vote?:

If so, what political party?:

Do you vote on a regular basis?:

Are you an Enrolled Member of any federally recognized tribe? If so, which one?:

This is not mandatory to work on a campaign, but just for our informational purposes.

Do you support tribal sovereignty & will you resist all efforts to diminish Indian Nation,s inherent right to govern themselves?:

Please attach a brief biography and/or resume with this questionnaire.:

Please describe your educational background, including high school, college (if any) and any additional education.:

Please tell us about your work history. What jobs have you held, and what were your main job duties? Attach an additional page:

Please describe any political experience or involvement. Include tribal elections, local elections, student body elections, etc.:

What job within a political campaign do you feel that you are most suited for, and why?:

Standard campaign positions include Campaign Manager, Field Director, Volunteer Coordinator, Communications/Press Secretary, Finance Director, and Research Director.

Writing sample: Tell us about your interest in politics.:

When did it begin? Do you have any political aspirations (such as working on campaigns full time or running for a political office)? Do you have any political heros?

Have you ever been arrested? If yes, please describe the arrest and the eventual outcome.:

(Were you convicted? Has it been expunged?)

Do you commit to work for an INDN,s List endorsed campaign in the upcoming election cycle?:

When are you available to begin working on the campaign and what is your last available work day?:

Date:*

Applicant Signature:*

INDN's LIST

Campaign Staff Application

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