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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA•PO BOX 20442•ATLANTA, GA 30325•
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARY
NOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE • WWW.GEORGIADEMS.ORG • PRINTED IN HOUSE •
Delegate Candidate Information and
Application
Democratic Party of Georgia
Prepared by: Ansley Tuten
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
A Message from our Chairman
Thank you for your interest in becoming a Delegate to the
Democratic National Convention! On September 3, 2012,
Democrats from across the nation will gather in Charlotte, NC
to celebrate the Party’s nomination of President Barack
Obama for re-election to our nation’s highest office. This
convention will culminate on September 6th
, when President
Obama addresses the Delegates and accepts our Party’s
nomination for President of the United States.
The state of Georgia will send 124 Delegates and 9 alternates to Charlotte. This manual
is meant to outline the process by which a registered voter may become one of these
Delegates. The process for becoming a Delegate is highly competitive and democratsfrom all over Georgia will be competing for those positions. The Democratic National
Committee and the Democratic Party of Georgia are dedicated to ensuring that
everyone who is qualified to run has that opportunity. We are also committed to
making sure that Georgia’s delegation adequately represents our State’s diverse
population.
We are eager to share with you the process of becoming a Delegate and stand ready to
answer any and all questions you may have. The process can seem a bit complicated,
but we are here to help make it as straightforward as possible. If you have anyquestions, please contact your Congressional District Chair or Democratic Party of
Georgia County Affairs Director, Ansley Tuten.
Democratically yours,
Mike Berlon
Chairman of the Democratic Party of Georgia
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
The Georgia Delegation-How Many Delegates Do We Have?
Georgia will elect 124 Delegates and 9 alternates to represent our State at the
Democratic National Convention. 72 of these Delegates (about 75% of the total
delegation) will be elected at the District-Level Delegate Caucuses to be held in each
Congressional District across the state on Saturday April 21, 2012. In addition to theseDelegates, 24 At-large Delegates, plus 9 additional Alternates will be elected by our
State Committee members at a later date in May.
14 Delegate spots are reserved for those considered Party Leaders and Elected Officials,
commonly referred to as “PLEOs”. These Delegates will be elected at a separate
election that will held by our by our State Committee Members in May. While only
current and former elected officials may run to be a PLEO Delegate, anyone may run to
be an At-large or alternate Delegate, including candidates who ran unsuccessfully on the
district-level.
Gender Equity and Priority of Consideration
The DNC mandates that each delegation brought to the Democratic National
Convention contain an equal number of men and women. In this spirit, district-level
Delegate caucuses must elect a pre-determined number of men and women in each
district. The break-down of Delegates to be elected in each district is as follows:
District # of male
Delegates
# of female
Delegates
Total # of
Delegates
1 3 2 5
2 2 3 5
3 3 3 6
4 4 3 7
5 3 4 7
6 3 2 5
7 3 3 6
8 2 3 5
9 2 2 4
10 3 2 5
11 2 3 5
12 3 2 5
13 3 4 7
TOTAL 36 36 72
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Additionally, the DPG is committed to electing a delegation that is representative of the
state of Georgia. The DPG has set its diversity goals based on the census data from the
population of Georgia. These goals are as followed:
African
Americans
Hispanic
Americans
Native
Americans
Asian
Americansand
Pacific
Islanders
LGBT
Americans
People
withDisabilities
Seniors
65+
Youth
Unde30
% of
Democratic
electorate
62.8% 1.6% undetermined 1.2% 5.9% 11.9% 15.7% 17.8%
Numeric
Goals for
Delegation
72 2 1 1 7 15 19 22
These are not mandates; they are goals which we will make every effort to achieve. In
the election of At-large and alternate Delegates, priority of consideration shall be given
to candidates who belong to these groups.
Financial Obligations of Becoming a Member of the Georgia Delegation
The cost of attending the 2012 Democratic National Convention in Charlotte as a
Delegate will range from $2000-$4000. Delegates will be responsible for all costsassociated with attending convention which include, but are not limited to: hotel
accommodations, travel and food. The costs associated with convention reduce if a
Delegate chooses to share a room with another Delegate. Delegates may also fundraise
independently to help cover the cost of convention. Under no circumstances will the
National or State Democratic Parties be held responsible for any costs associated with
individual Delegates. Potential Delegate candidates must sign a waiver acknowledging
this statement before they are eligible to run for a Delegate spot.
Qualifying to be a Delegate Candidate
Anyone wishing to run to be a Delegate must meet the following criteria:
Be a registered voter in the district in which they intend to run
Fill out the security clearance, candidacy application, statement of intent, and the
candidate party forms located on the Georgia Democrats website,
www.georgiadems.org, or at the conclusion of this manual.
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
These forms must be filled out and sent to the DPG offices no later than March 22,
2012. Forms may be submitted:
Electronically, by emailing signed copies of these forms to
mike@georgiademocrat.org
By fax, to the attention of Mike Berlon at 877-744-9438
By mail, to the attention of Mike Berlon at PO BOX 20442, Atlanta, GA 30325.
Mailed candidate affidavits must be postmarked by March 22, 2012
By hand-delivery, to the Democratic Party of Georgia Headquarters, located at
763 Trabert Ave. Atlanta, GA 30318.
Presidential Right of Refusal
After all of our candidates have submitted their application, security clearance,
statement of intent, and candidate party declaration, each candidate will be submittedto the presidential campaign to undergo a vetting process. If a candidate is stricken from
the list by a presidential campaign, they will be unable to declare candidacy for a district
level, At-large, or alternate Delegate position. Elected Delegates are also subject to a
vetting process by the presidential campaign, and failure to vet will result in a Delegate
not being allowed to be seated with the delegation.
How is the Georgia Delegation Elected?
There are two methods by which a registered voter may be elected to serve as aDelegate to the Democratic National Convention. Delegates are elected by their
congressional districts in district-level caucuses, or can be elected by the Democratic
Party of Georgia’s State Committee.
District-Level Delegate Caucuses
Each of the Democratic Party of Georgia’s Congressional District Chairs has selected a
central location in their congressional district to serve as a site for the District-Level
Delegate Caucuses, to be held Saturday April 21, 2012 at 8am. Voting will begin
promptly at 12pm and no other electors will be permitted to cast ballots if they have not
registered by the beginning of voting.
The contact information for our 13 Congressional District Chairs can be found here:
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Congressional
District Chair Contact Information
1 Jeana Brown jeana@georgiademocrat.org
912-294-3167
2 Kattie Kendrick Kjvrainier1@yahoo.com
478-825-2985
3 George Johnson gjohnson@melvillejohnson.com
678-358-4655
4 Acting Chair: Rep. Billy Mitchell billymitchell@bellsouth.net
770-465-8800
5 Catherine Smith catherineatlanta@gmail.com
678-596-1845
6 Ben Myers benmyers@ibew613.org
770-570-8981
7 Steve Reily sreilly@amrslaw.com
404-277-4784
8 Stephanie Woods-Miller taylormillerlaw@yahoo.com478-787-9729
9 David Robinson gdavidrobinson@gmail.com
770-893-9134
10 Patsy Harris patsydudney@yahoo.com
706-342-1011
11 Don Wilson (Interim) Don.e.wilson@att.net
678-334-8050
12 Liz Johnson Lizjohnson12th@gmail.com
912-541-1237
13 Melissa Prescott-Crawford justicecosts@gmail.com
678-462-8270
Method of Election
Registration for the District-level Delegate caucuses will begin at 8 am on Saturday April
21, 2012. Anyone registered to vote in the congressional district in which they intend to
caucus may cast a vote for Delegate candidates. Registration will close at exactly 12 pm
and no other electors will be permitted to cast votes for Delegate candidates. Anyone in
line, but has not completed the registration process by 12pm will be allowed to register
and cast a vote for their preferred Delegate candidates. Candidates are allowed two
minutes to address the audience, and are not permitted to have a nominating or
seconding speech.
Ballots will be distributed and voters may vote for a number of candidates equal to the
number of Delegates to be elected from the district. For example, the first congressional
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
district has been allotted three male and two female Delegates, so voters may select up
to three male and two female candidates.
Anyone who is registered to vote, is willing to sign a statement of support for the
Democratic Party, and resides in the district in which they are intending to vote is
permitted to cast a ballot at the District-Level Delegate Caucus. Each candidate mayencourage their supporters to attend the caucus and cast a vote for them.
The highest vote-getter, regardless of gender, is seated first. The next highest vote
getter of the opposite gender is seated second, and the seating alternates by gender
until all of the Delegate seats have been filled. Due to gender equity requirements, this
method of seating Delegates may result in a candidate being chosen to be a member of
the Georgia Delegation who received fewer votes than a candidate of the opposite
gender.
At-large and Alternate Delegates
Individuals wishing to run for Delegate at large, including unsuccessful Delegate
candidates at the district-level must submit the appropriate candidate forms outlined on
the “Georgia Delegate Candidate Check-list” of this manual by April 26, 2012.
Unsuccessful Delegate candidates at the district-level must re-submit these forms to be
considered a candidate for an At-large Delegate spot. Delegates will be elected by a
special meeting of the Democratic Party of Georgia’s State Committee to be held in
Macon, GA on May 19, 2012. Only State Committee Members will be allowed to vote for
these Delegate candidates. At-large and alternate Delegates are also subject to review
by presidential campaigns.
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Georgia Delegate Candidate Check-list
To complete the Georgia Delegate Application Process, the mandatory forms
listed below must be submitted by the appropriate District-level (March 22, 2012)
or At-large (April 26, 2012) application deadline.
_____ Georgia Delegate Application-Security Clearance
_____ Georgia Delegate Application- 2012 National Convention
_____ Georgia Delegate Application-Statement of Intent
_____ Georgia Delegate Application-Candidate Party Declaration
Please submit these forms to PO Box 20442, Atlanta, GA 30325 ATTN: Delegate Selection, by email to
mike@georgiademocrat.org or by fax to 877-744-9438
_____________________________________________________________________________________________
Dates to Remember:
Varies Georgia Delegate Training Workshops by Congressional District
March 6, 2012 Presidential Preference Primary
March 22, 2012 District-level Delegate Candidate Application Deadline
April 14, 2012 DPG receives list of approved Delegate candidates
April 21, 2012 District-level Delegate Caucuses
April 26, 2012 At-large Delegate Candidate Application Deadline
May 12, 2012 DPG receives list of approved Delegate candidates
May 19, 2012 At-large Delegate election- Macon, GA
Please contact your Congressional District Chair or DPG County Affairs Director with any questions that you may
have.
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Georgia Delegate Application
Security Clearance
Please complete this form to obtain a 2012 Democratic National Convention security clearance.
Additional forms may be required by the State Democratic Party or the DNC
Personal Information
Name as it appears on official documents
____________________________________________________________
Complete Address: __________________________________________
__________________________________________
__________________________________________
Phone Number: __________________________________________
Alternate Phone Number: ______________________________________
Email Address: __________________________________________
Congressional District: _________________________________________
Please Check all that Apply:
Gender: ____Male ____Female
Ethnicity: ___African American ____Asian-Pacific___Caucasian___Latino___Native AmericanAge: ___Youth (18-29)___Middle Aged (30-60)___Senior Citizen (60 and above)
Orientation: ___Lesbian, Gay, Bisexual, Transgender ___Heterosexual
Disability: ___Yes, please describe: _________________________________
Social Security Number: _____________________ Date of Birth: __________________
Party Leadership or Elected Positions:______________________________________________
Preferred Presidential Candidate:_________________________________________________
Marital Status: _______Single ______Married ______Divorced
Name of Spouse or Significant Other: ______________________________
Names of Children: _______________________________________________
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Georgia Delegate Application
2012 National Convention
Emergency Information
Emergency Contact: _____________________________________
Emergency Contact Address: _____________________________________
_____________________________________ _____________________________________
Any Known Allergies: _____________________________________
Illnesses or Special Concerns: _____________________________________
_____________________________________
Any other information: _____________________________________
Educational Information
Name of School(s): _______________________________________
Programs or Degrees: _______________________________________
Occupational Information:
Employer’s Name: _________________________________________
Employer’s Address: _________________________________________
_________________________________________
_________________________________________
Occupation: _________________________________________
Hobbies and Interest: ______________________________________________________________________________
______________________________________________________________________________
The information provided in this document is accurate and complete to the best of my
knowledge. I hereby authorize the Democratic Party of Georgia, The Democratic National
Committee, and other parties affiliated with the planning of the 2012 Democratic National
Convention full and complete permission to complete a background check using the above
information.
________________________ ______________________ ____/_____/____
Print Complete Name Signature Date
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY, VICE-CHAIR; MIGUEL CAMACHO, VICE-CHAIR; REP. PEDRO “PETE” MARIN, VICE-CHAIR; LAVERNE GASKINS, SECRETARYNOT AUTHORIZED BY ANY CANDIDATE OR CANDIDATE’S COMMITTEE•WWW.GEORGIADEMS.ORG
Georgia Delegate
Statement of Intent
Please complete this Georgia Statement of Intent (1) to officially declare your Presidential
Candidate of choice and (2) to acknowledge your financial responsibilities if selected as a
Georgia Delegate.
Complete Name: ____________________________________________
Occupation: ____________________________________________
Congressional District: ___________________________________________
Complete Address: ____________________________________________
____________________________________________
____________________________________________
Phone Number: ____________________________________________
Alternative Phone Number: _______________________________________
Email Address: ____________________________________________
Please Check all that Apply:
Gender: ____Male ____Female
Ethnicity: ___African American ____Asian-Pacific___Caucasian___Latino___Native American
Age: ___Youth (18-29)___Middle Aged (30-60)___Senior Citizen (60 and above)
Orientation: ___Lesbian, Gay, Bisexual, Transgender ___Heterosexual
Disability: ___Yes, please describe: _________________________________
Party Leadership or Elected Positions: ______________________________________________
Preferred Presidential Candidate: __________________________________________________
Receipt of this Statement of Intent certifies that I, _____________________ officially intend
to seek election as a Georgia Delegate to the 2012 Democratic National Convention.
X________ I understand that the Presidential Candidates have the right to approve or
disapprove of my candidacy.
X________ I understand that if elected, I am financially responsible for all Delegate related
expenses, including: travel, lodging, meals, registration fees, etc.
I hereby declare my candidacy as a Georgia Delegate to the 2012 Democratic National
Convention.
___________________ ______________________ ____/_____/____
Print Complete Name Signature Date
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PAID FOR BY THE DEMOCRATIC PARTY OF GEORGIA • P.O. BOX 20442 • ATLANTA, GA 30325
MIKE BERLON, CHAIR; NIKEMA WILLIAMS, FIRST VICE-CHAIR; RUSSELL EDWARDS, TREASURER;
RJ HADLEY VICE CHAIR MIGUEL CAMACHO VICE CHAIR REP PEDRO “PETE” MARIN VICE CHAIR LAVERNE GASKINS SECRETARY
Georgia Delegate
Candidates Party Declaration
Please complete this Candidates Party Declaration to officially declare your Party affiliation.
Complete Name: __________________________________________________
Congressional District: _________________________________________________
Complete Address: __________________________________________________
__________________________________________________
__________________________________________________
Phone Number: __________________________________________________
Email Address: __________________________________________________
Receipt of this Party Declaration Form certifies that I, ___________________________, am
resident and registered to vote in the _______ Congressional District, located in
______________ County, GA.
My initials signify and proclaim that the below statements are true and accurate:
______ I believe in the goals of the Democratic Party of Georgia
______ I am not a member of any other political party or body (as defined in the
Georgia election code)
______ I am not affiliated with any political group whose ideas, goals, and methods
are incompatible with that of the Democratic Party of Georgia (as identified by
the Executive Committee of the Democratic Party of Georgia).
______ If it is found that I have submitted this Party Declaration under false
pretenses, I am subject to immediate disqualification as a Georgia Delegate or
Alternate Delegate.
I meet all qualifications and hereby declare my candidacy as a Georgia Delegate to the 2012
Democratic National Convention.
________________________ ______________________ ____/_____/____
Print Complete Name Signature Date