Republican Party of Texas

2016 Candidate Resource Committee Funding Application

1. Candidate’s Last Name: / 2. Candidate’s First Name: / 3. Office/Position (include Pct./Place #): / 4. County: / 5. SD / Office Use Only
6a. Home Phone #
( ) - / 6b. Work Phone #
( ) - ext. / 7. Fax #
( ) - / 8. Email address &/or website / 3.
9. Mailing Address: (Street, City, Zip) / 10. Cell Phone and/or Pager #
( ) - / 11. Opponent’s Name: / 4.
12. Campaign Contribution should be made out to / 13. Name of Spouse, Name(s) and age(s) of Child(ren): / 14.
14. I am: the incumbent the challenger
running for open seat / 15. DOB / 16. Campaign Treasurer: / 17. ’12 Hecht %
% / 17.
18. Education, present job title, and responsibilities: / 19.
19. Campaign Manager: / 20. Campaign Consultant:
ALL PORTIONS OF SECTIONS 21-24 MUST BE COMPLETED TO EVEN BE CONSIDERED FOR FUNDING
21a. Campaign Total Budget $ 21b. Funds Raised to Date $
22. I HAVE read the current Republican Party Platform OR I HAVE NOT read the current Republican Party Platform.
23. The three platform planks or Republican issues that I most strongly identify with are:
i.
ii.
iii.
24. Platform planks or Republican issues that I have the most difficulty agreeing with are: / 21.
22.
27.
28.
25. Why are you running for this office? / 30.
26. What civic, professional or charitable organizations are you a member of?
IF YOUR RESPONSE TO ANY ITEM 27-33 REQUIRES AN EXPLANATION, PLEASE EXPLAIN IN ITEM 34.
27. Have a criminal record? Yes No (If yes, see Item 34.) / 28. Run for public office before? Yes No / 29. What public offices have you held?
30. Have you ever attended a campaign school?
Yes No (If yes, taught by whom, where & when?) / 31. What other campaigns have you actively worked in? / 32. Have you formed a campaign committee (if required by law) Yes
No Not required
33. Explanation of Items 27-32
34. Is there any other information you would like the Candidate Resource Committee to know that is not addressed above?
ITEMS REQUIRED FOR CONSIDERATION (Your application will NOT be reviewed until all of these items are received.)
35. Check Items you are including: / 35a. Funding Application 2014 / 35b. Budget w/line item detail / 35c. Time Line
36. Check appropriate block(s):
(A Referral Form from either your County Chair OR one of your SRECs is required.) / 36a. I have given a Referral Form to my County Chair.
Name:
(The County Chair will submit form upon completion.) / 36b. I have given a Referral Form to my SREC
SREC Name:
(The SREC will send the form in upon completion.)
ADDITIONAL HIGHLY RECOMMENDED ITEMS TO ASSIST THE COMMITTEE / OTHER ITEMS
37a. Professional/political resume/bio / 37a. Sample Campaign Materials / 37b. Letters of recommendation, personal or professional / 37d. Photo (Will not be returned)

Instructions for 2016 Candidate Resource Committee Funding Application

(Self-explanatory fields are not addressed)

ITEM # / COMMENTS
3 / Specify the office or position for which you are running, not a current or past position. Example: Justice of the Peace, Precinct 8, Place 1
6 / What percent of the voters in your district, precinct, or place voted for Texas Supreme Court Justice, Place 6 Nathan Hecht in the General Election? If unsure, your Republican County Chair or SREC should be able to help you.
8 / If you do not have email, please give us an email address of someone who can get messages to you quickly in the event questions arise that must be answered before your application can be processed.
12 / List the official name of your campaign so that checks can be made payable to the correct account if the Candidate Resource Committee grants you funding.
19, 20 / If you do not have a campaign manager or consultant, please enter N/A.
21 / This information is critical. Without information about your budget and funds raised to date, your application for funds will not be considered. Include personal funds that you have lent or have given to your campaign.
22, 23, 24 / All three sections must be completed for your application to be considered for funding
27-32 / If any of these items requires an explanation, please enter the explanation in Item 33
35 a-c / These items are not optional. No candidate will be considered for funding until all three required items are received.
36a-b / It is the candidate's responsibility to follow up with the County Chairman and/or SREC members to be certain their Confidential Referral forms are submitted to the Candidate Resource Committee.
37a-d / These items help the committee prioritize funding. A candidate who does not submit these items will still be considered for funding.
38-39 / Do not forget to sign and date the form.

REMEMBER THAT FUNDING IS NOT GUARANTEED! FUNDS ARE LIMITED. YOUR PRESENTATION OF YOUR RACE AND YOUR ABILITY AS A CANDIDATE WILL HELP US PRIORITIZE THOSE FUNDS APPROPRIATELY.

Please address application questions to the CRC Chairman, Steve Atwell via email at:

Submit by mail: Steve Atwell Submit by email:

CRC Chair Submit by fax: 817-595-2690

7524 Mosier View Ct, Ste. 230

Fort Worth, TX 76118

DUE: JUNE 1, 2016 01/16CRC Application Form