Interest in Running for Local, County, and State Office

Question Title

* 1. What level of office are you most interested in running for?

Local

County

State

Question Title

* 2. What are your main motivations for running for office? Select all that apply.

Community improvement

Policy change

Personal growth

Influence and leadership

Other

Question Title

* 3. How familiar are you with the process of running for office?

Very familiar

Somewhat familiar

Not familiar

Question Title

* 4. How important is supporting local businesses to you?

Very important

Somewhat important

Not important

Question Title

* 5. Have you previously participated in any local chamber of commerce activities?

Yes

No

Question Title

* 6. What does supporting local businesses mean to you?

Question Title

* 7. Name

Question Title

* 8. Please provide your address.

Question Title

* 9. Phone Number

Question Title

* 10. Email address

Question Title

* 11. Please provide a brief work history for the last five years