IAFF Elected Official Questionnaire

Please complete to keep our records up to date.  Thank you!

(* denotes required field) 

IAFF Member ID # (if applicable):  


IAFF Elected Official’s Name:

Last Name:   *  

First Name:  *

Address:   *
City:     *

State:

 *
Zip Code  *
Email Address 
Home Phone 
Cell Phone 

If you are not an IAFF member, please list relationship to IAFF member:  

List Member’s Name and Local #:  

Local Number:   *            Local Name:   *

Current Elected Status                *

Current elected position held:
  *

 

Is your elected position a partisan position? *   Yes No

What is your party affiliation?  *
Democrat
Republican
Independent
  Other 

Length of term for current office held (i.e. how many years in each term?)    *

Year Started Current Position                *

Year Current Position Ends               *

Date of Next Election?

Will you seek re-election? * Yes     No      Undecided

If yes, what year will you seek re-election?

Are there term limits for the position that you hold?    Yes     No     Uncertain

How will term limits impact you?

What other offices have you previously held?  Please list position(s) and year(s)

Did you incorporate fire service issues into your campaign?
  Yes   No  Uncertain 

    

International Association of Fire Fighters
1750 New York Ave., NW, Washington, DC 20006 • 202.737.8484 • 202.737.8418 (Fax)
Copyright © 2012 International Association of Fire Fighters.  Last Modified:  2/9/2012