Application: Please Answer a Few QuestionsFull Name(required)1. What do you regard as the three greatest wrongs (in the world or your state or your jurisdiction or community) that you would fix if you could?2. If you could wave a magic wand and fix three problems in the jurisdiction where you are running, (or thinking of running) what would they be?3. What Office are you running for? (or thinking about running for?)3a. When is the election?4. If you are elected what three things would you hope to accomplish for the people in your jurisdiction?5. What would you regard as your most significant professional or personal accomplishments?(required)6. Please provide, in a few short paragraphs, a brief biography. (Where you were raised…what you have done since professionally, as a civic leader plus any details you care to share about your family or personal life)7. Have you ever run for office before?YesNo7a. If so, when, where and for what office?7b. What do you believe you did best?7c. What challenges did you find most daunting?8. What is your party affiliation?9. What is the partisan affiliation of the jurisdiction where you would like to run?10. Do you consider yourself a liberal, moderate or conservative?Choose OneModerateConservativeLiberal11. Where/what year were you born?12. Where were you raised?13. Where did you graduate from high school?14. Did you attend/graduate from college?14a. Degree?14b. Advanced Degree?15. Are you married?YesNo16. Do you have children?YesNo17. Have you ever served in the Armed Forces?YesNo18. Have you ever invested in yourself, as in expert coaching or advanced one-on-one training?YesNo19. Are you willing to ask people to invest in your campaign in order to advance your cause?YesNo20. (If no in Q19) Are you willing to invest any of your personal resources in your campaign?YesNo21. Day and time best to reach you? 22. Email Address (valid email required)23. Phone Number (required)24. Physical AddressWould you you like a copy of this info emailed to you?