Form Jcvp-01 - Candidate'S Statement For County Voters' Pamphlet Page 6
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6JCVP‐01
ORS 251.335
Candidate’s Statement for Voters’ Pamphlet
‘Required Information’
(Candidate name )
TOTAL maximum of 325 hand‐counted typewritten words/numbers for ‘Required’ and ‘Optional Information’, excluding bolded
headings already printed on this form. All sections of the ‘Required Information’ must be completed. If there is not relevant
information for a required section the word “None” should be inserted. If attaching a typewritten document with either the
‘Required’ and/or ‘Optional Information’ write “See Attached” in the appropriate section of this form.
Occupation
(Present paid or unpaid employment):
Occupational Background
(Any previous paid or unpaid employment):
Educational Background
: (relevant schools attended)
Name of School
Educational study ‐ Major/minor
Diploma/Degree/Certificate
,
,
;
,
,
;
,
,
;
,
,
.
Prior Governmental Experience
(Elected or appointed):
‘Optional Information’
Please attach a separate sheet with your ‘Optional Information’. Remember - both your 'Required' and 'Optional
Information' count toward the 325 word limit.
Cand ate
checklist for ‘Candidate’s Statement for County Voters’ Pamphlet (VP)’ information:
( )
Typewritten & signed ‘Candidate’s Statement’ for County VP
(Optional) ‘Optional Information’
‘Required Information’:
(Optional) Portrait
Occupation;
(If applicable) Endorsement Statement #:________
Occupational Background;
Fee provided
Educational Background;
Prior Governmental Experience.
Word Count (325 words/numbers MAX)
Rev 02 201
2 of 2
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