Women's Campaign Forum

Congratulations on taking this first step! WCF is thrilled that you have decided to apply your considerable talents to public service -- we need strong new leaders in government now more than ever. Today, women make-up less than 16% of the U.S. Congress and fewer than 25% of all elective offices nationwide. Yet when women run, they win. We need dedicated leaders like you to step up to the plate and serve.

Please fill out the following form so that we can identify how to best support your efforts. Within a few weeks of receiving your information, a WCF staff member will be in touch to discuss your candidacy.

Email Address: *

First Name: *

Last Name: *

Address: *

City: *

State:

Zip: *

Country: *

Phone: *

Fax:

Current Office Held (if applicable):

Original Election Date to that Office (if applicable):

Party Affiliation:

Is there a specific race you are interested in entering?:

Yes

i. If yes, Office and District Sought:

ii. Date of Primary & General Election:

iii. Current Incumbent:

Why do you want to run?: *

How did you hear about WCF?: *

How can WCF be most helpful in your race?: *

Name of contact person other than yourself:

Email of contact person other than yourself:

Phone number of contact person other than yourself:

Campaign Committee Name:

Campaign Website:

* denotes required field

By completing this form, I affirm and renew my membership in Women's Campaign Forum.