Candidate Intake Form

Name (as it appears on the ballot)*

Which office and district are you running for?*

Brief Bio

Email*

Phone Number*

Type of Phone Number*

Campaign Headquarters*

Street Address City Zip Code

Website

Twitter Handle

Facebook Handle

Instagram Handle

Any other social media information

Campaign Manager/Chief Point of Contact*

Please include their name, phone number, email, and any additional ways to get in touch

Have you spoken to any members of the Louisiana Democratic Party staff? If so, who?

Have you ever run for office before? If yes, please briefly describe which office, when, and the results.

Additional Relevant Information

Additional Questions