To:
2013 Campaign Grant Applicants
From: Brette McSweeney, Executive Director
Re:
Grant Application Procedure and Timeline
Thank you for your interest in the Campaign Grant program.
All pro-choice Democratic women running for state and local office in New York State in
2013 are eligible to apply. The Board of Directors reviews all applications.
All completed applications are due by 3pm on Friday, August 30.
Applications must be returned via email to [email protected].
Only completed applications will be accepted. Completed applications MUST include:
Campaign Photo
Eleanor’s Legacy reserves the right to reproduce the photo on the website or in
membership mailings. Photos must be sent as .jpg file and be no smaller than
648KB.
Campaign Budget
Please provide a review of anticipated expenses, income, and total.
Campaign Committee Name & Address
Failure to include a campaign committee name and mailing address will results in
delays in receiving a Campaign Grant.
Completed and Signed Application
All applications must include a signature on page 3.
Please submit all questions via email to [email protected].
Best of luck on the campaign trail!
2013 Eleanor’s Legacy Campaign Grant Application
1 of 3
Eleanor’s Legacy
Campaign Grant Application - 2013 Election Cycle
Full name:
County of residence:
Elected position sought (please specify the county, city, town, and district # if applicable):
Home address:
Campaign website address:
Personal e-mail:
Campaign e-mail:
Home phone number:
Campaign phone number:
Occupation:
Employer:
Campaign Committee name:
Campaign Committee address:
Is this an open seat?
Yes
No
Name of opponents and lines they are running on:
Are you the incumbent?
Yes
No
Name of incumbent and lines they are running on:
Are you an enrolled Democrat?
Party lines on which you are running:
Yes
Are/Were you involved in a primary?
No
Yes
No
Total number of registered voters in your district:
Are/Were you involved in a caucus?
Yes
No
Date of caucus:
Total number of votes cast in most recent general election
for the position you are seeking:
Please indicate breakdown of the total votes by line:
Democrat
Independence
Republican
Conservative
Attach a copy of your campaign budget.
Attached.
Working Families
Other (please specify)
What is the PAC contribution limit to your campaign?
** Judicial Applicants are Not Asked to Complete this Section.**
The central premise of Roe v Wade is that a woman has the right to terminate a pregnancy before viability and after viability
if, in consultation with her doctor, an abortion is necessary to preserve her life or health.
Are you pro-choice?
Yes
No
Do you agree with the central premise of Roe v Wade and
will you vote to preserve it?
Yes
No
Do you support federal and state funding of abortions for poor Is there anything in your record that is inconsistent with
women?
Yes
No
your position? If yes, please explain.
Yes
No
2013 Eleanor’s Legacy Campaign Grant Application
2 of 3
Name of County Chair (or Town Chair if town race):
Have you run for public office before?
Yes
E-mail and phone for County/Town Chair:
No
Have you ever attended an Eleanor’s Legacy Campaign
School?
Yes
No If yes, when?
If you have applied for a Campaign Grant before, when?
Have you applied for a Campaign Grant before?
Yes
No
Did you receive the Campaign Grant?
Yes
No
If yes, for how much?
How did you learn about the Campaign Grant program?
Name of your campaign committee and the mailing address:
Please include the following, total attachments not to exceed 3 pages combined:
1. A campaign photo (saved as .jpeg, no smaller thank 648KB)
Attached.
2. A resume
Attached.
3. Campaign literature (palm cards, press release, etc.)
Attached.
"I attest that the answers given here are accurate and truthful to the best of my knowledge. I also pledge to use
my personal influence to provide support to other pro-choice Democratic women candidates for state and local
office in the future, as opportunities may arise."
Signed:
Date:
Please type your name in the space provided above. A typed name will be accepted as a form of electronic signature.
Please submit completed applications and all necessary attachments to: [email protected]
Contact Eleanor’s Legacy at [email protected] with any questions.
Completed applications must be returned by Friday, August 30, 2013.
2013 Eleanor’s Legacy Campaign Grant Application
3 of 3