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Form for candidates seeking a Clean Water Action endorsement for Michigan offices. For Congressional elections, please use the federal candidate questionnaire form. Thank you for your time and interest! 

  • Current Candidate Information
  • Questionnaire
  • Review Submission
  • Complete

Please complete all questions, including explanations. This form does not auto-save. We recommend completing this in one sitting by copying and pasting narrative answers from a separate document.

Candidate Information

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Full mailing address
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Campaign social media profiles, if applicable

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Please upload a high-quality photo of the candidate here.

By submitting an image, you're confirming that Clean Water Action has the right to use the image to communicate our endorsement of the candidate, in the case that the endorsement is approved.


One file only.
100 MB limit.
Allowed types: gif, jpg, jpeg, png.