Ready to Lead?

Candidate Interest Form

Are you a veteran of the wars in Iraq or Afghanistan and ready to serve as a Republican in the U.S. House of Representatives? If so, please complete the form below and we’ll be in touch.

First Name

Last Name

Phone

Service Branch

MOS/Designator

Military Rank

Campaign Ribbons with Stars

Personal Decorations

Education

In which state and district do you intend to run?

Why do you want to run?

What five main issues concern you the most?

What members of the U.S. House of Representatives do you know?

Upload a resume (PDF or Word file)