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Gongwer News Service  

The Record of Capitol Square Since 1906


Thank you for participating in the Gongwer News Service candidate biographical survey. We are asking all of the candidates for state and federal office to provide the following information. Please be as complete as possible.

Contact Information

First Name    M.I.

Last Name    Suffix (Jr., III, etc.)

Home  

Mailing Address

City    State    ZIP Code

City/Village/Township of Residence (if different from mailing address)

Phone ( ) -    Fax ( ) -

E-mail

Web Site

Campaign Information

Post Sought

District (number only, if applicable)

Incumbent

Political Party Affiliation

Campaign Committee

Mailing Address

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E-mail

Web Site

Personal Information

Gender

Birth Place    Birth Date / /

Marital Status    Spouse

Children/Grandchildren

Education (please include area of study or major and any degrees obtained)

Work History/Military Service

Prior Elective Office Sought/Served

Other Political Activity

Community Organizations

Religion

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