Free minorcan.indd - Wyoming

Federal and State Offices Minor Party Candidate Information Form
Before filing this application: Please see reverse side for "Qualifications for Office."

State of Wyoming County of

) ) ss. )

I, , swear or affirm that I was born on (mo/date/year), that I have been a resident of the State of Wyoming since (mo/yr), and that I am a registered voter of Election District No. , in Precinct No. , residing at in the County of , (if for the office of state senator or representative) in HD or SD , state of Wyoming, and registered as a member of the party, and I hereby request that my name be printed upon the official ballot at the next general election as a candidate for the office of , and hereby declare that if elected, I will qualify for the office. DATED this day of , 2010.

Signature
Print or type your name exactly as you wish it to appear on the ballot. (W.S. 22-6-111 states that professional titles and degrees shall not appear on the ballot.)

Residence Address Mailing Address (if different) City/Town, Zip Code

Gender:

Male

Female

In order to meet federal requirements for audio ballots and to accomodate individuals with disabilities, please print your name phonetically on the line above. (i.e. Peggy Nighswonger would be Peg-gee Nice-wong-ger)

Primary Telephone Number Secondary Telephone Number E-mail Address Website Address

Filing Dates: .......................................................No later than August 16, 2010 Filing Office: ......................................................Candidates for federal, statewide and state legislative offices file with the Secretary of State. Candidates for county offices, including district attorneys, file with the County Clerk. Filing Fee: ...........................................................$200.00 ................Candidates for federal and statewide offices. $25.00 ...................Candidates for state legislative, distrcit attorney and county offices. This form can be accessed on the Secretary of State's WEBSITE at: http://soswy.state.wy.us/Forms/FormsFiling.aspx
6/2009 minorcan For office use only: Candidate Packet

Qualifications for Office
Are you holding an office which may conflict, or be incompatible, with the office for which you are filing? Or, is your employment incompatible with the office you are seeking?

UNITED STATES SENATOR Must be at least 30 years old U.S. citizen for nine years An inhabitant of the state in which he shall be chosen. (U.S. Constitution, Art. 1, Sec. 3) UNITED STATES HOUSE OF REPRESENTATIVES Must be at least 25 years old U.S. citizen for seven years An inhabitant of the state in which he shall be chosen. (U.S. Constitution, Art. 1, Sec. 2) GOVERNOR Must be at least 30 years old U.S. citizen Qualified elector Resided in the state five years next preceding the election (Wyo. Constitution, Art. 4, Sec. 2) SECRETARY OF STATE, STATE AUDITOR, STATE TREASURER AND STATE SUPERINTENDENT OF PUBLIC INSTRUCTION Must be at least 25 years old U.S. citizen Qualified elector (Wyo. Constitution, Art. 4, Sec.11) STATE SENATOR Must be at least 25 years old U.S. citizen Qualified elector Resided in the district from which elected at least twelve months next preceding his election. W.S. 22-5-102 (a). STATE REPRESENTATIVE Must be at least 21 years old U.S. citizen Qualified elector Resided in the district from which elected at least twelve months next preceding his election. W.S. 22-5-102(a).
* In any general election year in which legislative reapportionment is required but has not been enacted into law at least one (1) year prior to the applicable filing periods, a person may be a candidate for the state legislature from a legislative district if he: (i) Is a resident of the legislative district on the date he files an application under W.S. 22-5-204 or a petition under W.S. 22-5-301; and (ii) Has been a resident of a county for at least one (1) year next preceding his election in which any portion of that legislative district is located.