Young Democrats of Illinois
YDA 2009 Convention Delegate Application
(please scan and email to firstname.lastname@example.org or fill out the online form at http://tinyurl.com/ydidelegate)
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
__________ Hispanic or Latino
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.
Signature and date