Candidate Bio Form

Candidate for(Required)

Please complete the demographic information below.

Name(Required)

First Last

Credentials

Email(Required)

Phone(Required)

Please answer the following question in 250 words or less:(Required)

If elected, share what you would like to accomplish during your term in office.

If desired, please upload your photo.

Max. file size: 256 MB.

Current Employment

Job Title Company Name

Previous Positions

Provide job title and company name in reverse chronological sequence of positions held the last 10 years.

Show degrees earned, dates, names of college or university.

Professional Activities