"*" indicates required fields FacebookThis field is for validation purposes and should be left unchanged.Users should generate one report form per legislative race Please answer each question completely and use one report form per legislative race. Please contact Matt Blewett at matt.blewett@edmn.org if you have questions.Local hosting the screening*If multiple locals participated, please list them with a comma between them.Name of person filling out this form*Screening date*Screening action* Recommendation Defer to PAC No Recommendation Election district*–Select One–01A House01B House01 Senate02A House02B House02 Senate03A House03B House03 Senate04A House04B House04 Senate05A House05B House05 Senate06A House06B House06 Senate07A House07B House07 Senate08A House08B House08 Senate09A House09B House09 Senate10A House10B House10 Senate11A House11B House11 Senate12A House12B House12 Senate13A House13B House13 Senate14A House14B House14 Senate15A House15B House15 Senate16A House16B House16 Senate17A House17B House17 Senate18A House18B House18 Senate19A House19B House19 Senate20A House20B House20 Senate21A House21B House21 Senate22A House22B House22 Senate23A House23B House23 Senate24A House24B House24 Senate25A House25B House25 Senate26A House26B House26 Senate27A House27B House27 Senate28A House28B House28 Senate29A House29B House29 Senate30A House30B House30 Senate31A House31B House31 Senate32A House32B House32 Senate33A House33B House33 Senate34A House34B House34 Senate35A House35B House35 Senate36A House36B House36 Senate37A House37B House37 Senate38A House38B House38 Senate39A House39B House39 Senate40A House40B House40 Senate41A House41B House41 Senate42A House42B House42 Senate43A House43B House43 Senate44A House44B House44 Senate45A House45B House45 Senate46A House46B House46 Senate47A House47B House47 Senate48A House48B House48 Senate49A House49B House49 Senate50A House50B House50 Senate51A House51B House51 Senate52A House52B House52 Senate53A House53B House53 Senate54A House54B House54 Senate55A House55B House55 Senate56A House56B House56 Senate57A House57B House57 Senate58A House58B House58 Senate59A House59B House59 Senate60A House60B House60 Senate61A House61B House61 Senate62A House62B House62 Senate63A House63B House63 Senate64A House64B House64 Senate65A House65B House65 Senate66A House66B House66 Senate67A House67B House67 SenateCandidate 1Candidate 1: Name*Candidate 1: Political party*Select oneRepublicanDemocratic-Farmer-LaborLibertarian PartyWe The PeopleGreen PartySocialism and LiberationSocialist Workers PartyJustice For AllIndependentAmericans FirstConstitutional ConservativeForward Party IndependentIndependence-AllianceCandidate 1: Questionnaire complete* Yes No Candidate 1: Does the candidate accept PAC contributions?* Yes No Did you screen a second candidate?* Yes No Candidate 2Candidate 2: Name*Candidate 2: Political party*Select oneRepublicanDemocratic-Farmer-LaborLibertarian PartyWe The PeopleGreen PartySocialism and LiberationSocialist Workers PartyJustice For AllIndependentAmericans FirstConstitutional ConservativeForward Party IndependentIndependence-AllianceCandidate 2: Questionnaire complete* Yes No Candidate 2: Does the candidate accept PAC contributions?* Yes No Did you screen a third candidate?* Yes No Candidate 3Candidate 3: Name*Candidate 3: political party*Select oneRepublicanDemocratic-Farmer-LaborLibertarian PartyWe The PeopleGreen PartySocialism and LiberationSocialist Workers PartyJustice For AllIndependentAmericans FirstConstitutional ConservativeForward Party IndependentIndependence-AllianceCandidate 3: Questionnaire complete* Yes No Candidate 3: Does the candidate accept PAC contributions?* Yes No Did you screen a fourth candidate?* Yes No Candidate 4Candidate 4: Name*Candidate 4: political party*Select oneRepublicanDemocratic-Farmer-LaborLibertarian PartyWe The PeopleGreen PartySocialism and LiberationSocialist Workers PartyJustice For AllIndependentAmericans FirstConstitutional ConservativeForward Party IndependentIndependence-AllianceCandidate 4: Questionnaire complete* Yes No Candidate 4: Does the candidate accept PAC contributions?* Yes No RecommendationRecommended candidate*Rationale*Were there any specific local/regional/issue-based questions asked of the candidates?* Yes No If yes, what were the questions?Of the candidates who screened, did anything stand out as especially positive or negative? Were there red flags or things to highlight? Please describe:Yes votes*No votes*Abstained*Minority opinion
