Candidate Application

Candidate Application

This application is required for all students who wish to run for office in the 2021 Student Elections. Any questions about this form may be directed to the Elections Coordinator, Zack Miranda, at zmiranda@santarosa.edu.

Due: March 12th at 5 PM

Click here for more information about the qualifications for office.

Click here to read a brief description of the positions available in the 2021 Student Elections

Name (As registered with SRJC)*

First Name

Last Name

Student ID Number*

Phone*

Email*

In the box below, type your name as you would like for it to appear on the ballot:*

What Position are you running for in the 2021 Student Elections?*

Will your campaign have a Campaign Manager or Campaign Advisor? [Managers and Advisors are not required]*

Yes No

Candidates may specify a Campaign Manager (SRJC Student) and/or Campaign Advisor (SRJC Employee). Campaign Managers and Advisors will be included in all communications from the Election Staff.

Campaign Manager Name [SRJC Student]

First Name

Last Name

Campaign Manager Email [SRJC Student]

Campaign Advisor Name [SRJC Employee]

First Name

Last Name

Campaign Advisor Email [SRJC Employee]

Election Oath:

I do solemnly swear or affirm that I will conduct the affairs of my election campaign for the office of (indicated above) honestly and in accordance with the rules and regulations of the SRJC Student Elections. If elected, I will abide by and uphold the Constitution of the SRJC Student Body.

Signature*

[clear]

By signing above, you affirm the Election Oath and confirm the information above is accurate. Use your mouse or finger to draw your signature above