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? *
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? *
If yes, what year will you seek re-election?
Are there term limits for the position that you hold?
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