Declaration of
Candidacy
School Board Candidates
(See instructions for preparation on back)
Is this an amendment?
Yes
(if you have already filed a DOC for this election)
No
(if this is the first DOC you have filed for this election)
I,
, being duly sworn, state that
Candidate's name
I am a candidate for the office of School Board Member ___________________________________________
Include seat number or name of apportioned area, if applicable
and, at the time of filing this document, I will meet the applicable age, citizenship, residency and voting qualification
requirements, if any, prescribed by the constitutions and laws of the United States and the State of Wisconsin, and
that
I will otherwise qualify for office, if nominated and elected.
I have not been convicted of a felony in any court within the United States for which I have not been pardoned.
1
My present address, including my municipality of residence for voting purposes is:
House or fire no. Street Name Mailing Municipality and State Zip code Municipality of Residence for Voting
My name as I wish it to appear on the official ballot is as follows:
(Any combination of first name, middle name or initials with surname. A nickname may replace a legal name.)
_________________________________________________
(Signature of candidate)
S
TATE OF
W
ISCONSIN
County of _____________________
(County where oath administered)
Subscribed and sworn to before me this ________ day of ______________________, ______.
___________________________________________________________
(Signature of person authorized to administer oaths)
Notary Public or other official ___________________________________________
(Official title, if not a notary)
If Notary Public: My commission expires or is permanent.
(date commission expires)
EL-162SD For School District Candidates | 2018-04 | Wisconsin Elections Commission, P.O. Box 7984, Madison, WI 53707-7984 |
| 608-261-2028 | web: gab.wi.gov | email: elections@wi.gov |
1 A 1996 constitutional amendment bars any candidate convicted of a misdemeanor which violates the public trust from running for or
holding a public office. However, the legislature has not defined which misdemeanors violate the public trust. A candidate convicted of any
misdemeanor is not barred from running for or holding a public office until the legislature defines which misdemeanors apply.
NOTARY SEAL
REQUIRED, IF OATH
ADMINISTERED BY
NOTARY PUBLIC
Town of
Village of
City of
F
OR
O
FFICE
U
SE
O
NLY
ss.
Instructions for Completing the Declaration of Candidacy
All candidates seeking ballot status for election to school district office in the State of Wisconsin must properly
complete and file a Declaration of Candidacy. This form must be ON FILE with the proper school district clerk
no later than the deadline for filing nomination papers or the candidate's name will not appear on the ballot. A
facsimile will be accepted if the
FAX
copy is received by the school district clerk no later than the filing deadline
and the signed original declaration is received by the school district clerk with a postmark no later than the filing
deadline.
Information to be provided by the candidate:
Type or print your name on the first line.
The title of the office and any seat number or apportioned district for which you are seeking election
must be inserted on the second line.
Felony convictions: Your name cannot appear on the ballot if you have been convicted of a felony
in any court in the United States for which you have not been pardoned. Please see footnote on
page 1 for further information with respect to convictions for misdemeanors involving a violation of
public trust. These restrictions only apply to candidates for state and local office.
Your current address, including your municipality of residence for voting purposes, must be inserted on the
fourth line. This must include your entire mailing address (street and number, municipality where you
receive mail) and the name of the municipality in which you reside and vote (town, village, or city of ).
If your address changes before the election, an amended Declaration of Candidacy must be filed with the
School District Clerk. Wis. Stat. §.8.21.
Type or print your name on the fifth line as you want it to be printed on the official ballot. You may use your full
legal name, or any combination of first name, middle name, and initials, or nickname with last name.
Note: The Wisconsin Elections Commission has determined that, absent any evidence of an
attempt to manipulate the electoral process, candidates are permitted to choose any
form of their name, including nicknames, by which they want to appear on the ballot.
No titles are permitted. In addition, names such as “Red” or “Skip” are permitted, but
names which have an apparent electoral purpose or benefit, such as “Lower taxes,”
“None of the above” or “Lower Spending” are not permitted. It is also not permissible
to add nicknames in quotes or parentheses between first and last names. For
example, John “Jack” Jones or John (Jack) Jones are not acceptable, but John
Jones, Jack Jones or John Jack Jones are acceptable.
This form must be sworn to and signed in the presence of a notary public or other person authorized to
administer oaths, such as a county, municipal or school district clerk. Wis. Stat. §§ 8.21(2), 887.01(1).
Information to be provided by the person administering the oath:
The county where oath was administered.
The date the Declaration of Candidacy was signed and the oath administered.
The signature and title of the person administering the oath. If signed by a notary public, the date the
notary’s commission expires must be listed, and the notary seal is required.
All school district candidates must file this form with the appropriate school district clerk no later than the deadline
for filing nomination papers. Wis. Stats. §§ 8.10 (5), 8.15 (4)(b), 8.20 (6), 8.21, 8.50 (3)(a), 120.06 (6)(b).