2017 Convention Delegate Pre-Filing Form

Complete this form to participate in the May 13, 2017 Convention at Luther Jackson Middle School. After you have completed the form, you will be redirected to complete a voluntary delegate filing payment of $10.

I certify that:

  • I am a resident of, and registered to vote in, the Eleventh Congressional District;
  • I do not intend to support any candidate who is opposed to the Democratic nominee in the next ensuing general election;
  • I am a Democrat;
  • I am not a member of any other political party; and
  • I have not participated and will not participate in the nominating process of any other political party for the 2017 general election.