Age (Please see restrictions regarding Contributions from Minors)*
Employer: If multiple employers and one is a state contractor, list the state contractor. If self-employed, provide Name of Business. (Example: Dave's Painting. Other Examples: Retired, Unemployed, Student, Homemaker)
Date of Birth*
Principal Occupation: If self-employed, provide Job Description. (Example: Painter. Other Examples: Retired, Unemployed, Student, Homemaker)
Campaign finance law requires us to collect your employment information.
Are you a communicator lobbyist or the spouse or dependent child of a lobbyist?*
Are you an elected public official?*
Are you a principal of a state contractor or prospective state contractor? If yes, please indicate which branch or branches of government the contract(s) is with:*
Are you a principal of a holder of a valid prequalification issued by the Commissioner of Administrative Services?*
