Yavapai County Superintendent of School - Write-In Candidate Nomination Paper

Yavapai County Superintendent of Schools
Write-In Candidate Nomination Paper-Declaration of Qualification
A.R.S. §§ 16-311, 16-312

Yavapai County Superintendent of Schools
2970 Centerpointe E Dr.
Prescott, AZ 86301
(928) 771-3326
yavapaicoesa.gov
audrey.isley@yavapaiaz.gov
You are hereby notified that I, the undersigned, a qualified elector, am a candidate

for the District of   District Name*   office of   Office Sought*   for a nonpartisan

election to be held at the   *   Election on *

I will have been a citizen of the United States for   Number of Years*   years before

my election and will have been a citizen of Arizona for   Number of Years*  years

before my election, and therefore I will meet the Constitutional and/or statutory age

requirement for taking said office. I have resided in Yavapai county for

Number of Years*   years, and have resided in   Precinct Name/Number*   precinct for

Number of Years*   years.
Term of Office:
Actual Residential Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Description of place of residence (if applicable)
Post Office Address (if applicable)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Type your name on the following line in the exact manner you wish it to appear on the Notice of Official Write-In Candidates.

Nicknames are permissible, but nicknames, abbreviated versions or initials of given names may not suggest reference to professional, fraternal, religious or military titles and may not include a slogan, a promotional word or phrase or any word that does not actually constitute a nickname. A.R.S § 16-311(G)
Candidate Name

Last NameFirst Name
Candidate Email for Receipt
example@example.com
DECLARATION AND SIGNATURE

I declare, under penalty of perjury, that the information in this Nomination Paper and Declaration of Qualification is true and correct, and that at the time of filing I am a resident of the county, district, or precinct, that I have no final, outstanding judgments against me of an aggregate of $1,000 or more that arose from failure to comply with or enforcement of campaign finance law, and as to all other qualifications, I will be qualified at the time of election to hold the office that I seek. If running in the General Election, I further certify that I am not disqualified from running as a write-in candidate pursuant to A.R.S. § 16-312(F).
Candidate Signature
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour MinutesAM/PM Option
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Should be Empty:

Yavapai County Superintendent of Schools

Type your name on the following line in the exact manner you wish it to appear on the Notice of Official Write-In Candidates.