CANDIDATE INFORMATION REQUEST FORM ELECTION DATE: November 3, 2020 Presidential General Election

Date: ___________________________ Incumbent: Yes No (if yes) Elected Appointed

Name of Candidate (as registered) My Name is: Masculine Feminine Transgender Masculine Transgender Feminine Other: ________________________

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FIRST MIDDLE (do not include hyphenated last name) LAST (include all or hyphenated last names) Name of Candidate (as to appear on Nomination Documents) My Name is: Masculine Feminine Transgender Masculine Transgender Feminine Other: ________________________

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FIRST MIDDLE (do not include hyphenated last name) LAST (include all or hyphenated last names) Candidate Resident Address ___________________________________________________________________________________________________ Candidate Mailing Address (if different than resident address) ____________________________________________________________________________________________________ Day Phone (include area code) Evening Phone (include area code) Mobile Phone (include area code) ________________________________ _________________________________ _______________________________ Email Address ____________________________________________________________________________________________________ Name of Office Sought Jurisdiction _________________________________________________ _________________________________________________ Running for: Full Term Short Term Recall

PHONETIC SPELLING OF NAME (REQUIRED) Do people often ask you how to pronounce your name? With the option to vote using an audio ballot in Santa Clara County, it is important that we understand how to pronounce your name correctly, especially if uncommon. In the area below, please spell your name phonetically, exactly as you wish it to be recorded and heard by voters using the audio ballot. This must match your requested name on the Declaration of Candidacy form.

Example Name: Ryan Nunez First Name (Rye - in) Middle or Nick Name (if requesting) Last Name (Noon – Yez)

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________________________________ ________________________________ ________________________________ Contest Number Candidate Number Filing Date

______________________________________ ______________________________________ ______________________________________ Affidavit Number District Code Precinct Number

___________________________________________________________ ___________________________________________________________ Registration Date & Party Previous Reg. Date & Party (only Primary Election)

CoverSECTION 1 - Documents Candidate is Required to File During Nomination PeriodBoard of Supervisors Runoff ChecklistCandidate Guidelines for Issuing and Submitting Nomination PaperworkCandidate Information Request Form (CIRF)Permission to Post Personal Information on County of Santa Clara Registrar of Voters Internet WebsiteBallot Designation WorksheetBallot Designation Worksheet InstructionsBallot Designation Regulations

Candidate Statement of QualificationsRules for Counting Words in Candidate StatementCandidate Statement Format GuidesCandidate Statement

Recommendations for Minimizing Cyber Risk

SECTION 2 - Resource Documents and Other FormsLetter of Authorization to Pick Up Declaration of Candidacy

Candidate Election CalendarRequest to Receive Nomination DocumentsSanta Clara County Registrar of Voters Guide to Translated Languages

FIRST: Dropdown8: []MIDDLE do not include hyphenated last name: LAST include all or hyphenated last names: Yes: OffNo: OffElected: OffAppointed: OffMasculine1: OffFeminine1: OffTG Masculine1: OffTG Feminine1: OffOther 1: OffOther2: Masculine2: OffFeminine2: OffTG Masculine2: OffTG Feminine2: OffOther3: OffOther4: FIRST_2: MIDDLE do not include hyphenated last name_2: LAST include all or hyphenated last names_2: Candidate Residence: Candidate Mailing: Evening Phone include area code: Mobile Phone include area code: Day Phone: Email Address: First Name (Rye-in): Middle or Nick Name: Noon-Yez: Contest Number: Candidate Number: Affidavit Number: District Code: Precinct Number: Date3_af_date: Dropdown6: [Select from Drop Down Menu...]Date6_af_date: Dropdown7: [Select from Drop Down Menu...]Date7_af_date: Full Term: OffDate1_af_date: Short Term: OffRecall: Off