The Ohio Green Party Candidate Questionnaire pg 4 of 5
| 4. Personal Information The information from this portion of the form will be held in strict confidence and will not be duplicated, emailed, or posted on the internet. It will be held by the Secretary of the Ohio Green Party and shared only with members of the State Central Committee and the Candidates Committee via private conference call or face to face meeting. If your campaign is successful in derailing the political status quo your opponents will scrutinize your records to find grist for negative “issues” to try to discredit you. Your supporters and advocates need to be prepared for these possibilities. Have you ever failed to file a local, state, or federal income tax report and pay the assessed taxes as required by law? YES/ NO (If “YES” explain) _____________________________________________________________________________________________________________________ |
Are you currently or have you ever been involved in any legal proceedings? (If “YES” please explain) ______________________________________________________________________________________________________________________ |
Have you ever been arrested? YES/ NO (If “YES” please explain) _____________________________________________________________________________________________________________________ |
Have you ever been convicted of a crime? YES/ NO (If “YES” (If “YES” please explain) ___________________________________________________________________________________________________________________ |
Have you ever refused military induction or deployment? YES/ NO (If “YES” please explain) __________________________________________________________________________________________________________________ |
What is your military discharge status? HONORABLE / OTHER (If “other” please explain) __________________________________________________________________________________________________________________ |
| Have you met all court ordered obligations including child support and alimony payments? YES / NO /Not Applicable (If “NO” please explain) ____________________________________________________________________________________________ _____________________________________________________________________________________________________________________ |
Have you ever sought or received mental health or substance abuse services?YES / NO (If “YES” please explain) ____________________________________________________________________________________________________________________ ____________________________________________________________________________________________________________________ Have you ever been affiliated with a group advocating the violent change or overthrow of the U.S. Government? YES NO (If “YES” attach explanation in detail but give a short explanation here: _________________________________ _____________________________________________________________________________________________________________________ ___________________________________________________________________________________________________________________ |
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