Young Democrats of Illinois

Young Democrats of Illinois
YDA 2009 Convention Delegate Application
(please scan and email to emilydrobinson@gmail.com or fill out the online form at http://tinyurl.com/ydidelegate)

Name ___________________________________________________________________________
Address _________________________________________________________________________
City/Zipcode ___________________________________________________________________
County ______________________________ Local Chapter __________________________
Email ________________________________ Cellphone ______________________________
Date of Birth (mm/dd/yyyy) _________________________

Affirmative Action Goals
YDA has established diversity goals for each state. To assist us in reaching our goals, please let us know if you are or you identify as any of the following. This information is for internal purposes only and will not be released.
Please select all applicable:

__________ African American

__________ Woman

__________ Hispanic or Latino

__________ LGBT

__________ Disabled

Delegate Responsibility
Delegates to the YDA National Convention are responsible for representing Illinois by voting in general sessions, including the elections for new officers. You may also be asked to attend trainings, receptions, and committee meetings during the convention and use that information to help grow your chapter.


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Signature and date