Candidate Full Name *

First Name

Last Name

Do you support full marriage equality for same-sex couples? *

Yes

No

Do you support full adoption rights for lesbian, gay, bisexual and transgender couples? *

Yes

No

Would you fight for funding for senior housing for the LGBT community? *

Yes

No

Will you support increasing funding for both emergency shelter beds and transitional beds for homeless youth, a huge percentage of whom are from the LGBT community? *

Yes

No

Will you oppose the granting of city shelter contracts to any large, warehouse-style youth shelters, which would require a waiver from the State law limiting shelter size? *

Yes

No

Will you support increased funding for the HIV/AIDS Services Administration? *

Yes

No

Will you support fully funding NYC Department of Health’s plan to expand PEP & PreP Access? *

Yes

No

Do you support ensuring all individuals are able to access medically appropriate health care services, including reproductive health care, regardless of their gender identity? *

Yes

No

Will you hire openly LGBT staff and/or designate a liaison to the LGBTQ community? *

Yes

No

If you currently hold or have previously held office - have you allocated public dollars to support organizations and/or programming that primarily provides services to members of LGBT community?

Yes

No

If you currently hold or have previously held office - have you ever voted against and/or abstained on voting on legislation that supported the LGBT community?

Yes

No

If seeking office for the first time - if elected, would you give strong consideration to LGBT service organizations seeking public funding from your office?

Yes

No

Do you oppose the use of condoms as evidence of prostitution in criminal cases? *

Yes

No

Will you join the LGBT community in calling on the New York City Police Department to better investigate the murder, assault, or hate crimes against LGBT individuals, particularly trans people of color? *

Yes

No

Will you support a policy change to ensure the New York City Police Department appropriately genders individuals when releasing information? *

Yes

No

Do you support the inclusion of School Climate as a measure of Non-Academic School Success, as part of the implementation of the Every Student Succeeds Act? *

Yes

No

Do you support mandatory LGBT-inclusive, multicultural education as a pre-certification requirement for teachers? *

Yes

No

Do you support curriculums for New York City Schools that include important moments in LGBT civil rights history, and that challenge racism, sexism and homophobia? *

Yes

No

Do you oppose permitting the use of NYC public school facilities for religious services or any other sectarian uses? *

Yes

No

Do you support amending the City’s Minority and Women-owned Business Enterprise (M/WBE) Certification Program to include LGBT preferred contracting? *

Yes

No

If endorsed will you display the endorsement of the Stonewall Democratic Club of NYC in your literature whenever you list other endorsements, including on your campaign website? *

Yes

No

Have you ever endorsed or financially supported any candidate for public office or current elected official with a track record of working against LGBT equality? *

Yes

No

Would you in the future, endorse or financially support any candidate for public office or current elected official with a track record of working against LGBT equality? *

Yes

No

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Campaign Manager Name *

First Name

Last Name

Campaign Manager Mobile Number

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Campaign Headquarters Address

Address 1

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