Precinct Delegate Sign-Up Form

Full Name (First, Last)

County

Municipality (City / Township)

Ward / Precinct No

Phone

Email

Social Media / @username

Preferred Method of Contact

News Sources

Personal Information (family, military, work experience, education, etc.)

Why are you interested in becoming a precinct delegate?

History of Political Involvement (check all that apply) History of Political Involvement (check all that apply) Conservative Constitutional Republican Voter Grassroots Activist Precinct Delegate County Executive Committee Member Congressional District Committee Member State Central Committee Member

Describe in detail your political activity in the past 6 months.

What activities are you willing to participate in as a precinct delegate? (check all that apply) What activities are you willing to participate in as a precinct delegate? (check all that apply) Attend County Conventions (4-5 per 2-year term) to elect America First patriots to party leadership Attend State Conventions (3-4 per 2-year term) to elect party nominees and state party leadership Contact voters (phone, email, door-to-door) Campaign volunteer for Patriot Approved candidates (sign planting, literature distribution, phone bank, etc)

What is the America First agenda?

What should be the Top 5 priorities of our party leadership and elected officials?

Name two local grassroots activists or members of your county party that represent the America First agenda. Explain why.

Name two members of your county party that represent The Swamp. Explain why.

Name two Michigan politicians who align most closely with your values. Explain why.

Describe a RINO. What should be done with RINOs?

Is it EVER acceptable to team up with RINOs? If yes, when?

Peter Meijer and Fred Upton voted to impeach President Trump. Should they be censured? Why?

Political campaigns and grassroots activities will always require funding to a certain extent. When is it NOT okay to accept money in the political world?

Which presidential candidates did you vote for in the 2016 primary and general elections?

What happened in the November 2020 elections?

What should be done to restore public confidence in the election process? (check all that apply) What should be done to restore public confidence in the election process? (check all that apply) Nothing - the process is great, and we need to focus on winning elections Pass legislative bills for election integrity reform Pass a Citizen Statue Initiative(s) for election integrity reform Pass a Citizen Ballot Initiative to reverse Prop 3 Conduct a Full Forensic Audit of the 2020 election results Remove machines - return to hand count Use machines with open source code Prosecute and remove election officials who committed fraud Require Voter ID and signature requirements Replace every legislator who ignored evidence of fraud and did not support a full forensic audit Ban unsolicited mail-in ballot applications Secure the chain of custody for ballots Make private money in elections illegal

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