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IAFF Elected Official Questionnaire - Canada

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:  *

Street Address   *




Postal 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:

What IAFF locals do you represent in your current elected position? 

Is your elected position a partisan position? *   Yes No

Are you permitted to take direct campaign contributions in the jurisdiction in which you hold office?

Yes No

What is your party affiliation?  *
New Democratic Party
No Affiliation

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

Are you interested in running for another office?  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


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