LPRC Endorsement Application

1
Date of Election
Date
Month
Day
Year
2
Name
First Name
Last Name
3
Email
example@example.com
4
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Please Select
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
5
Phone Number
Area Code
Phone Number
6
Public office for which you are seeking endorsement.
7
Campaign Website URL.
8
Campaign Social Media Account URL
9
Does your state have voter registration by party?
Yes
No
10
Does your state allow voter registration as a Libertarian?
Yes
No
11
How are you registered?
12
Are you a member of your state’s Libertarian Party affiliate?
Yes
No
13
Does your state have a membership program?
Yes
No
14
Have you signed the Libertarian Party pledge?
Yes
No
15
Do you consider yourself a fusion candidate? Do you support fusion candidates?
16
Do you believe in an open tent Libertarian Party?
17
Are you a dues paying or life member of the national party?
Yes
No
18
Are You an active participant with your local, state, or national chapter outside of your campaign for public office?
Yes
No
19
Have you previously been or are you currently an officer at the local, state, or national level of the libertarian party?
Yes
No
20
Are you a member of the Radical Caucus?
Yes
No
21
List any caucuses or committees you have been previously or are currently affiliated with within the libertarian party.
22
Do you agree with the Statement of Principles?
Yes
No
23
Do you subscribe to the Non-Aggression Principle?
Yes
No
24
Have you read the Libertarian Party Radical Caucus Platform?
Yes
No
25
Which LPRC Platform Planks do you disagree with and Why?
26
Do any of the LPRC platform plank disagreements affect the position that you are running for?
27
How would you classify taxation?
28
Have you ever run for office before? If so, when? On what ticket? What percentage of the vote did you attain?
29
Have you ever held a public office before? If so, when did you hold office? Name three actions you took to minimize government/maximize liberty during your tenure.
30
When did you formally launch your campaign for this election cycle?
Date
Month
Day
Year
31
Why did you choose to run for office?
32
Why did you choose this office?
33
Estimate your chances of winning your election.
34
List and explain the top three issues on your campaign platform.
35
How do you propose to integrate libertarian ideals into your actions should you get elected?
36
What are the first three (3) actions you will take if you are elected?
37
How much money have you raised for your campaign?
38
How have you structured your campaign staff?
39
What is your campaign mission statement?
40
What is your campaign action plan?
41
If you are invited, are you willing to be involved in debates?
Yes
No
42
If you are not invited to debates, what are you willing to do about that?
43
Will your put "Libertarian" on all of your promotional materials?
Yes
No
44
If you were to recieve funding, what would you do with the funds?
45
How much money do you need?
46
Your responses will be reviewed by the LPRC Endorsements Committee alongside your campaign website and social media. The Endorsements Committee will determine if your platform and campaign are in line with the values of the Libertarian Party Radical Caucus as expressed in our bylaws, platform, and key issues viewable at http://www.lpradicalcaucus.org/about The LPRC Endorsements Committee will consider forwarding your application to the Radical Caucus Board of Directors for their consideration.
Should be Empty: