ADEM 2025

Candidate Registration

To register to run in the Assembly District Election, you must qualify as a registered Democrat. Please enter your details exactly how you registered to vote.

Your candidate application will also double as your pre-registration form to vote. You will be given your Participant Identification Number (PIN) once you complete this candidate application form.

All fields marked with * are required to be filled in to proceed with registration.

First Name*

Last Name*

Date of Birth*

Cell Phone*

County*

Unit/Apt Number

City*

Zip Code*

Email Address*

Ballot Name*

The ballot name may be designated as follows:

First, middle and last names
Initials only and last name
A nickname may be included but must be in parentheses () or quotation marks “ ”
A short version of the first name, such as “Bill” for William, "Dick" for Richard or "Kathy" for Kathleen

NO TITLES OR DEGREES ARE ALLOWED IN THE BALLOT NAME

Gender*

Self-Identified Female

Other than Self-Identified Female

Check the box if you would like to receive your ADEM ballot Online.

Check the box if you would like to be eligible for the Executive Board

(Candidates that are eligible for the E-Board will have an asterisk following their name)

By checking this box, I affirm that I have received, read, and will abide by the CDP Code of Conduct. (cadem.org/code-of-conduct/).*

Please check the form for any invalid/incomplete details.

Code of Conduct

Accessibility

Press Releases

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