*Date:

*Full Name:

*Email Address:

*Campaign Committee Name:

*Phone:

*Address of Campaign:

*Office/Position Being Sought:

*Party Affiliation:

Democrat

Republican

Independent

Other 

*Date of Election:

Do you presently hold an elective office?

Yes       No 

           If yes, what office?

           Is this the office you are a candidate for?

Yes       No

           Were you elected or appointed?

Elected       Appointed

Education:  High School:

                   College:

                   Other:

*Labor Background:

Have you received our endorsement for any other political office?

Yes        No 

           If yes, what office?

Present Occupation:

*Why are you a candidate for this office?

*Are you supportive of Collective Bargaining Agreements?

Yes        No 

            Please explain:

*Are you supportive of Project Labor Agreements?

Yes        No 

            Please explain:

*Are you supportive of Responsible Contracting Language?

Yes        No 

          Please explain:

*Are you in favor of Prevailing Wage?

Yes        No 

          Please explain:

*Are you willing to protect Ohio against further Right to Work Legislation?

Yes         No 

          Please explain:

Additional Comments: