Instructions for completing the application: Complete all sections of this application by August 31, 2023. Limit your responses to the space that has been allotted for each section. Candidate Information Name Candidate's Full Name Credit Union Name Address Address City/Town State/Province - None -AlabamaAlaskaAmerican SamoaArizonaArkansasArmed Forces (Canada, Europe, Africa, or Middle EastArmed Forces AmericasArmed Forces PacificCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFederate States of MicronesiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP/Postal Code Phone Fax Candidate's Advocacy Please discuss any meetings the candidate may have had with members of Congress, policymakers, their staff and the issues discussed since August 1, 2021. Please enter a response below. About text formats Plain text No HTML tags allowed. Lines and paragraphs break automatically. Web page addresses and email addresses turn into links automatically. Candidate's Political Correspondence Please discuss any political correspondence with members of Congress and policymakers via letters, faxes, emails, etc. and the appropriate responses. Please enter a response below. About text formats Plain text No HTML tags allowed. Lines and paragraphs break automatically. Web page addresses and email addresses turn into links automatically. Candidate's Political Involvement Please list any activities the candidate has participated in since January 1, 2021. These activities may include hosting a credit union tour, attending political fundraisers, meeting with policymakers, volunteering in congressional campaigns, hosting political fundraisers, etc. Please enter a response below. About text formats Plain text No HTML tags allowed. Lines and paragraphs break automatically. Web page addresses and email addresses turn into links automatically. Other Accomplishments Please note any other significant activities of the candidate. Please enter a response below. About text formats Plain text No HTML tags allowed. Lines and paragraphs break automatically. Web page addresses and email addresses turn into links automatically. CAPTCHA This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. Leave this field blank