Please answer the following questions in order to be considered for the endorsement of the Antelope Valley Republican Assembly:  

1. Please check the political party you registered to vote as?

o Republican                o American Independent                o Libertarian
            o Green Party               o Natural Law                                 o Reform
            o Democrat                   o Decline to state                          o Other:_________
2. What makes you qualified for the office you seek? (please explain)

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3. Would you use the AVRA endorsement in your campaign?
            o Yes              o No               o If so, how? ____________________________
4. When you campaign will you and your campaign staff refrain from mud slinging?
            o Yes              o No               If no, please explain: _______________________

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5. Do you support the Palmdale school bond?
            o Yes              o No               Please explain why: ________________________

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6. Do you have any embarrassing legal problems (e.g., arrests, bankruptcies, law suits) that may be used against you by your opponent?  o Yes    o No     If yes, please explain:

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7. Why do you want to be a school board member? ______________________________

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8. What are your views on Multicultural Education? ________________________________

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9. Do you believe parents should be notified and consent required before a minor child is allowed to obtain an operation or be dispensed prescription drugs?     o Yes       o No

Please explain: ____________________________________________________________

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10. Which concept best describes your position on organized labor in schools?  check one:  

o  I support a closed shop (mandatory unionism)

o  I support agency fee (must pay either union dues or a fee to a non-religious charity)

o  A union has the right to exist, but no one should be forced to join.

o  I support the "right to work" and do not approve of unions.

Please Sign Here:      X  ___________________________________________

Print Your Name:             ___________________________________________

Phone & email              ___________________________________________