StateOfAlaskaOfficialElectionPamphlet
CandidateChecklist
Send Electronically To:(call with credit card information) / E-Mail:
Phone:(907)465-4611
TollFree:(866)952-8683
or Mail To: / DivisionofElections
P.O.Box110017
Juneau, AK 99811-0017
DivisionofElections:
Ihaveenclosedthefollowinginformationregardingmycandidacyforinclusioninthe2016OfficialElectionPamphlet:
1.Abiographicalstatementof150wordsorless.AS15.58.030(e)
2.Apositionstatementof250wordsorless.AS15.58.030(e)
3.A5"x7"photograph(fiveincheswidebysevenincheshigh)taken within the last five years and limited to the head, neck and shoulders of the candidate. All photographs will be printed in black and white. AS 15.58.030(f)
4.Cash,check,moneyorder,orcreditcard(seecreditcardauthorizationformattached)fortheappropriateamountmadepayabletotheStateofAlaska,DivisionofElections.AS15.58.060(a)
$300.00–PresidentorVicePresidentoftheUnitedStates(each)
Irequestthattheaboveinformationbeprintedinthe2016StateofAlaskaOfficialElectionPamphletandcertifythatIamsubmittingmymaterialsbythestatutoryduedateofTuesday,August30,2016.AS15.58.030(a).
NameofCandidateDate
Director’s Office
PO Box 110017
Juneau,Alaska99811-0017
Phone: (907) 465-4611
Toll Free: (866) 952-8683
STATE OFALASKA
Division ofElections
Officeofthe Lieutenant Governor
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Completionofthisformisnotproofofpaymentuntil the divisionprocessesthe informationcontainedherein.Ifanyofthe informationon thisformisillegible,the formwillbe rejected.Pleaseprint.
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StateOfAlaskaOfficialElectionPamphlet
CandidateForElectedOffice-BiographicalStatement
NOTE: All written materialmust betypewrittenperAS15.58.030(e). Electronicsubmissionofstatements viae-mail attachment or CDispreferred. USBThumbDriveswill not beaccepted.
RevisionsarenotallowedafterTuesday,August30,2016.AS15.58.030(a).
Pleasefollowthebelowformat whensubmitting your biographical information, althoughyoudonot havetousethisparticular page. Omittedcategorieswill not appear inthepamphlet. Biographical statements arelimitedto150words or less.Anywordsincludedbeyondtheallottedwordcount will not bepublished.
Pleasereviewyour pagecarefullybeforesubmitting andcheck for spelling andgrammaticalerrors. The wordcount must followstatutoryguidelines. Thewordcount does not includecategoryheadings. Pleasewriteout completenames ratherthanusing acronyms or abbreviations. Weattempt tomakethebiographicalsectionofthecandidatepageas uniformas possible.
Name:
(The candidate'snamewillbeprintedon the OEP page asitappearson the ballot.)
Officefiled for:
(example:President,VicePresident.)
PoliticalParty:
(Ifrunningasanominatingpetitioncandidate,pleaserefertohowyourpoliticaldesignationappearson the sampleballot,example:Non-partisan,Independent,etc.)
ResidenceAddress:
MailingAddress:
E-MailAddress:
Web SiteAddress:
WORD COUNTBEGINSHERE-150WORDSOR LESS
Anywordsincludedbeyondtheallottedwordcount will not bepublished.
Age:
(Atthe dateofthe election)
Placeof Birth:
Spouse’sName:
Children’sNames:
Occupation:
Lengthof Residencyin Alaska, if applicable:
(Howmanyyearsyouhavelivedin the state.)
List theAlaskancommunitiesthat youhavelived in andthedates, if applicable:
(Example:Anchorage1984-1986)
Education(HighSchool,Technical/Vocational,College/University,PostGraduate):
(Pleaselistthe schoolsname,datesattendedanddegreesorcertificatesobtained.)
MilitaryService:
(Pleaselistthe branch,length ofservice,rankandawards/medalsearned.)
PoliticalandGovernment Positions:
BusinessandProfessionalPositions:
ServiceOrganization(s) Membership:SpecialInterests:
Other(BiographicalInformationOnly):
StateOfAlaskaOfficialElectionPamphlet
CandidateForElectedOffice-PositionStatement
Candidate’sName:
NOTE: All written materialmust betypewrittenperAS15.58.030(e). Electronicsubmissionofstatements viae-mail attachment or CDispreferred. USBThumbDriveswill not beaccepted.
RevisionsarenotallowedafterTuesday,August30,2016.AS15.58.030(a).
Positionstatements arelimitedto250words or less. Articles suchas “a” “an” and“the”eachcount as oneword. Anywordsincludedbeyondtheallottedwordcount willnot bepublished. Pleaselistskills,positions onissues,politicalphilosophy, andothermatters as appropriatetoadvocatethecandidacy. Negativecampaignmaterial is notsuitablefor inclusionintheelectionpamphlet.