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(State Election Law requires you must select a political party. Independent is not a party.)
1 = not experienced, 5 = very experienced
I CERTIFY THAT I am not a member or a known active advocate* of a political party other than the party identified above. I FURTHER CERTIFY THAT the foregoing statements are true to the best of my knowledge and belief. Type your name in the signature box below to certify.
ANY FALSE STATEMENTS MADE ON THIS APPLICATION WILL DISQUALIFY THE APPLICANT.
This field is not part of the form submission.
* indicates a required field