Candidate Full Name
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First Name
Last Name
Office Sought
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Full Name of Campaign Committees
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List here the union, organizations (community, civic, media, issue groups), and elected officials that have endorsed you:
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Have you ever endorsed any LGBT candidates? Which ones?
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Please explain any activities and/or experiences that demonstrate your commitment to the LGBT movement, including any concrete achievements for the LGBT community that you are responsible for in your current, or previous, elected office/s or positions.
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What experience do you have to demonstrate you are the best person to represent the office you are seeking?
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Please detail any specific policy proposals you may have that will affect the LGBT community, which are not addressed in the following sections.
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Do you support full marriage equality for same-sex couples?
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Yes
No
If no, please explain.
Do you support full adoption rights for lesbian, gay, bisexual and transgender couples?
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Yes
No
If no, please explain.
Will you hire openly LGBT staff and/or designate a liaison to the LGBTQ community?
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Yes
No
If no, please explain.
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 yes, please provide specific examples, including the organizations / services you have supported, amount of funding allocated and fiscal years.
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 yes to either, please explain.
Do you oppose the use of condoms as evidence of prostitution in criminal cases?
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Yes
No
If no, please explain.
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?
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Yes
No
If no, please explain.
Will you support a policy change to ensure the New York City Police Department appropriately genders individuals when releasing information?
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Yes
No
If no, please explain.
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?
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Yes
No
If no, please explain.
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?
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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?
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Yes
No
If yes to either of the above, please explain.
Candidate Personal Phone Number
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Candidate Personal E-mail
Candidate Mailing Address
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Address 2
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State/Province
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Campaign Manager Name
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First Name
Last Name
Campaign Manager Mobile Number
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Campaign Manager Email
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Campaign Headquarters Address
Address 1
Address 2
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State/Province
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Campaign Headquarters Phone Number
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