POLITICAL ACTION COMMITTEE QUESTIONNAIRE FOR CANDIDATES

Dear Candidate:

Congratulations on your decision to run for office in Ohio. Ohio NOW PAC is in the process of endorsing candidates and referring candidates to NOW/PAC for the 2006 elections. If you wish to be considered for endorsement, we ask that you print out the following information then complete and return it to Ohio NOW PAC. You are encouraged to submit a bio, position papers and any other materials you feel would provide information that would help us make a decision on your candidacy. Materials should be returned ASAP.

Good luck with your campaign. Send your political information to:

Diane M. Dodge, Ohio NOW PAC Chair
2660 Blake Rd.
Wadsworth, OH 44281
(330) 336-2578
For info msdodge@akrobiz.com

Candidate Form

Name: ______________________________________________________________________________

Address: ____________________________________________________________________________

City: ______________________________________________ State: ____________ Zip: ___________

Phone # __________________________________ Fax# ______________________________________

E-mail: ___________________________________ Website: __________________________________

Office Sought: ___________________________________ Incumbent:     YES      NO     Terms: _______

Opponents: __________________________________________________________________________

Political Party: ___________________________________ Endorsed by party:     YES      NO

Are you a NOW member:    YES      NO    Were you ever a NOW member:     YES      NO

Campaign Committee Name: ____________________________________________________________

Campaign Chair: ____________________________ Treasurer: ________________________________

Campaign Mailing Address: ____________________________________________________________

City: ______________________________________________ State: ____________ Zip: ___________

How many women serve on your campaign team? _________________ Minorities: ________________

Other positions you have held and/or run for? _______________________________________________

____________________________________________________________________________________

Endorsements received for this campaign: _________________________________________________

____________________________________________________________________________________

Requesting an Ohio NOW PAC endorsement:      YES     NO    For:     PRIMARY      GENERAL      SPECIAL

Please use additional paper if necessary. Include bio and campaign literature.

Please answer by circling SUPPORT or OPPOSE. Space for comments follows each section and you may add whatever comments you feel clarify your position.

Candidate's Name: ___________________________________

Economic Rights:
  Pay Equity (equal pay for jobs requiring comparable skills, responsibilities, risks, etc.)
    SUPPORT   OPPOSE
  Accessible, affordable day care for children and adults made possible with private and public funds
    SUPPORT   OPPOSE
  Adopting a living wage standard
    SUPPORT   OPPOSE
  Accessible, affordable, and transportable comprehensive health insurance and prescription
  coverage for all citizens
    SUPPORT   OPPOSE
  Enforcement of child support laws, aggressive collection and timely distribution of all
  child support monies
    SUPPORT   OPPOSE
  Comments:

Equal Rights Amendment:
  Ratification of the ERA to the US Constitution
    SUPPORT   OPPOSE
  Passage of an ERA to the Ohio Constitution
    SUPPORT   OPPOSE
  Ratification of CEDAW (1980 UN Convention on the Elimination of all forms of
  Discrimination Against Women)
    SUPPORT   OPPOSE
  Comments:

Reproductive Rights:
  Safe, legal and accessible birth control and family planning information and methods
    SUPPORT   OPPOSE
  Required sexuality education in public schools, including education on STD’s,
  HIV/AIDS and birth control
    SUPPORT   OPPOSE
  Accessible and affordable prenatal and well baby care for all women and
  children, regardless of economic status
    SUPPORT   OPPOSE
  Safe, legal, accessible and affordable abortions for all women who choose this
  option, including minor females as stated in Roe v. Wade
    SUPPORT   OPPOSE
  Over the counter accessibility to emergency contraception
    SUPPORT   OPPOSE
  Comments:

Civil Rights:
  Adequate funding of Ohio civil rights laws
    SUPPORT   OPPOSE
  Enforcement of all hate crimes legislation and aggressive prosecution (including increased penalties)
  for all hate crimes
    SUPPORT   OPPOSE
  Renewal of federal the Patriot Act and support of the Ohio Patriot Act
    SUPPORT  OPPOSE
  Enforcement of existing laws and aggressive prosecution of perpetrators of crimes of violence
  and/or harassment of staff, clients and the public at abortion clinics
    SUPPORT   OPPOSE
  Comments:

Lesbian, Gay, Bisexual and Transgender Rights:
  Local and state legislation banning discrimination based on sexual orientation and gender in relation
  to employment, housing, financial or public services
    SUPPORT   OPPOSE
  Prohibiting discrimination based on gender and sexual orientation in awarding custody of children
  following divorce and in granting adoptions
    SUPPORT   OPPOSE
  Federal or state constitutional amendments limiting marriage to one man and one woman
    SUPPORT   OPPOSE
  Legal recognition of civil unions and granting lesbians and gays the same access to legal and financial rights
  and services as heterosexuals who are married
    SUPPORT   OPPOSE
  Comments:

Crimes and Violence Against Women:
  Aggressive enforcement and prosecution for crimes of violence against women, rape and domestic violence
    SUPPORT   OPPOSE
  Mandatory training programs (with full funding) for law enforcement and judicial personnel dealing with
  sensitive issues and appropriate methods of investigating and litigating sexual abuse, rape
  and domestic violence crimes
    SUPPORT   OPPOSE
  Appropriating full funding for existing sexual abuse and domestic violence prevention programs
    SUPPORT   OPPOSE
  Comments:

Educational Equity:
  Expansion of charter schools and school voucher programs
    SUPPORT   OPPOSE
  Passage of legislation and expansion of existing legislation requiring equity in both opportunity and
  funding of school sports for females and males
    SUPPORT   OPPOSE
  Legislation that would require non-sexist and multi-cultural teaching techniques to be included in all
  teacher education programs and curriculums
    SUPPORT   OPPOSE
  Full funding for The No Child Left Behind Act
    SUPPORT   OPPOSE
  Teaching of Intelligent Design as a science along with Evolution
    SUPPORT   OPPOSE
  Comments:

Candidates Signature: ___________________________________ Date: __________________