Candidate for party office ___ A.D.; ___ State Committee;___ District Leader, Part ___

Candidate Name: _____________________________________

Contact Person: ______________________________________

If there is a Campaign office(s) is it wheelchair accessible?

Campaign Address: _____________________________________

Phone: ____________________________________________

Fax: ____________________________________________

Email: __________________________________________

Website: _________________________________________

Endorsements

Political:

Community:

Labor:

1. Please describe any experience with disability you have had in your life or career.

    

    

2. Does the club to which you are affiliated have a headquarters that is accessible to persons with motor and sensory disabilities?

    

    

3. When choosing locations for meetings and/or fundraisers for your club, is accessibility a deciding factor?

    

    

4. Many local clubs and several Democratic County organizations (including Queens) headquarters are inaccessible. Do you believe local clubs are required under the Americans with Disabilities Act, National and State Party Rules to hold meetings and other public events that are accessible to persons with disabilities?

    

    

5. Are there any persons with disabilities active in your club? Do you have any officers or Executive Board members with disabilities?

    

    

6. Have you run candidates with disabilities for Party office such as County Committee and Judicial Convention Delegates?

    

    

7. Has your club made efforts to attract new members with disabilities?

    

    

8. Have you sought to replace inaccessible polling places in your area with accessible ones?

    

    

9. Have you appointed persons with disabilities as election workers?

    

    

10. Persons with disabilities have historically been under-represented within the Democratic Party leadership. According to the 2000 census, persons with disabilities comprised 20.6% of all residents in New York State and 23.1% of population 18 years and older. Previously, we were told that only those groups included in the Voting Rights Act were included in the goals and timetables for delegate selection. Yet the lesbian and gay communities were included for the first time at the 2000 convention and again at the 2004 convention. Would you support a campaign to set a goal that 10% of the total New York State Delegation to the 2008 Democratic National Convention be comprised of persons with disabilities?

     

     

Date: ______________________