Endorsement Questionnaire

Name

First

Last

Phone

Website / URL

Email

Address

Address Line 1

Address Line 2

City

State

Zip Code

Contact Person

Contact Email Address

Contact Phone Number

Campaign Address

Address Line 1

Address Line 2

City

State

Zip Code

Position Sought

Incumbent

Yes
No

Party

District

Name of Your Opponent

Please list the names & staff positions held by women in your campaign

Please list all other endorsements you have received since declaring your candidacy

Please share campaign social media sites (Facebook, Twitter, etc.)

Are you a member of the Women's Political Caucus of New Jersey?

Yes
No

General Election Budget

Amount Raised to Date

Equal Rights Amendment: Do you support the Federal Equal Rights Amendment to the US Constitution?

Yes
No

Comments

Would you resist any efforts to repeal the New Jersey Equal Rights Amendment?

Yes
No

Do you support legislation to protect equal rights for all individuals regardless of gender identity or expression, race, age, religion, ethnic origin, disability or sexual orientation?

Yes
No

How have you demonstrated and/or plan to support this position in office?

Do you support New Jersey's current law which protects the right to abortion for all pregnant persons, including minors?

Yes
No

Comments

Pay Equity: Do you believe in pay equity for men and women performing the same job?

Yes
No

Comments

Domestic Violence: Do you support both punitive and preventive measures to protect individuals from domestic violence?

Yes
No

Comments

The following questions will only be considered in the event that there are two potentially endorsable candidates running for the same position.

Please explain your position on supporting public funding for a full range of reproductive health services for low-income women?

Do you support policies to expand access to contraception, such as requiring insurance companies to cover all federally-approved contraceptive methods without a co-pay, and regardless of an employer’s religious or moral beliefs?

Will you resist efforts to repeal the NJ Reproductive Freedom Act?

Yes
No

Comments

Name of person and title completing questionnaire

Do you certify that this questionnaire has been reviewed and approved by the candidate listed above.

Yes
No

*Please note - this questionnaire is confidential and intended solely for the internal use of the WPCNJ.

The following questions will only be considered in the event that there are two potentially endorsable candidates running for the same position.

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