Michelle Watson2 -26
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
09/2021
APPLICATION FOR A PLACE ON THE BALLOT FOR A GENERAL ELECTION
FOR A CITY, SCHOOL DISTRICT OR OTHER POLITICAL SUBDIVISION
ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INAKATED AS OPTION ' F ilure to pr%de.requiW informatlon pay result in rejection of application.
APPLICATION FOR A PLACE ON THE ENU&L ELECTION BALLOT
TO: City Secretary/Secretary of Board (name of election)
I request that my name be placed on the above -named official ballot as a candidate for the office indicated below.
OFFICE SOUGHT (Include a y plate umber or o er distingujshi number, if any.)
ItIQICATE TERM
EJ
FULL UNEXPIRED
FULL HAW ( first, Middle, Last)
PRINT NAME AS kOU WANT IT TO APPEAR ON THE BALLOT*
I'll
witon
PERMANCNI RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If
PUBLIC MAILING ADDRESS [Optional) (Address for which you receive
you d ocaYOn of sidence.)
campaign r s and ce, if available.)
C Z�
CITY
STATE
ZIP
h�
�
/ � v
PUBLIC EMAIL ADDRESS (Optional) (Address for OCCUPATION (Do not leave blank) DAT OF BIRTH VOTER REGISTRATION VUID
ich u re c cam oleo r ted a Is, if available.) NUMBER (Optional)
TELEPHONE CO NTA RMATION (Optional)
Home: Office: Cell:
FEL CONVICTION STATUS (You MUST check one) LENGTH OF CONTINUOUS RESIDENCE AS OF DATE THIS APPLICATION WAS SWORN
I have not been finally convicted of a felony. IN THE STATE OF TEXAS IN TERRITORY /DISTRICT /PRECINCT FROM
I have been finally convicted of a felony, but I have been WHICH THE OFFICE S GHT IS ELECTED
Years) year(s)
pardoned or otherwise released from the resulting
disabilities of that felony conviction and I have provided
months) month (s)
proof of this fact with the submission of this application .3
*If using a nickname as part of your name to appear on the ballot, you are also signing and swearing to the following statements: I further swear that
my nickname does not constitute a slogan or contain a title, nor does it indicate a political, economic, social, or religious view or affiliation. I have
been commonly known by this nickname for at least three years prior to this election. Please review sections 52.031, 52.032 and 52.033 of the Texas
Election Code regarding the rules for how names may be listed on the official ballot.
Before me, the undersigned authority, on this day personally appeared (name of candidate) iq. who
,
being by me here and now duly sworn, u on oath s'ay's-
�
"1, (name of candidate) `L 1 A� is a y of County, Texas,
being a candidate for the office of . swear that I will su port and defend the Constitution and
laws of the United States and of the State of Texas. I am a citizen of the United States eligible to hold such office under the constitution and laws of
this state. I have not been determined by a final judgment of a court exercising probate jurisdiction to be total) ent&1174ncapaitated or partially
mentally incapacitated without the right to vote. I am aware of the nepotism apter 573 Code. I am aware that l�1ru t disclose
any prior felony conviction, and if so convicted, must provide proof th ve a or othe is released from the resulti s of
any such final felony conviction. 1 am aware that know! gly provi " false informatio a is regarding my pos ' e felony co victio
status constitutes a Class B misdemeanor. I further swea that th egoing stateme s inc u in y air things true a correct."
NAT OF CANDIDATE
Sworn to and subscribed fore me this th day of by MIC,
day) (month) (year) {name of !date)
Offlc Auth rized to Administer Oath" Printed N 4 ej&We r Au$VAM 290*01Mr Oa
1of
gQTARY PUBIJC • SUTE OF TEXAS
No ial Shea 117404
Title of Officer Authorize_ d to Adm)nist r Oath
TO BE COMPLETED BY FILING OFFICER: THIS APPLICATION IS ACCOMPANIED BY THE R pica a AID BY:
CASH 11 CHECK ❑ MO ORDER El CASHIERS CHECK OR EI PETITION IN LIEU OF A FILING FEE.
This document and $ filing fee or a nominating petition of pages received. VcI egistra ion Status Verified
7 (See Section 1.007)
-
Date Received Date Attes=ted Sie*ure f F iling Office Desi nee
CODE OF FAIR CAMPAIGN FORM CFCP
COVER SHEET
PRACTICES
OFFICE USE ONLY
Pursuant to chapter 258 of the Election Code, every candidate and
Date Received
political committee is encouraged to subscribe to the Code of Fair
Campaign Practices. Practices. The Code may be filed with the proper filing
authority upon submission of a campaign treasurer appointment
form. Candidates or political committees that already have a
current campaign treasurer appointment on file as of September 1,
1997, may subscribe to the code at any time.
Dale Hand - delivered or Postmarked
Date Processed
Subscription to the Code of Fair Campaign Practices is voluntary.
Date Imaged
1 ACCOUNT NUMBER
2 TYPE OF FILER
(Ethics Commission Filers)
CANDIDATE POLITICAL COMMITTEE Ej
If filing as a candidate, complete boxes 3 - 6, !f filing for a political committee, complete
then read and sign page 2. boxes 7 and 8, then read and sign page 2.
3 NAME OF CANDIDATE
(PLEASE TYPE OR PRINT)
TITLE (Dr., Mr., Ms., etc.) FIRST MI
%
A C
NICKNAME LAST SUFFIX (SR., JR., III. etc.)
'ry ^Jl
O
4 TELEPHONE NUMBER
AREA CODE PHONE NUMBER EXTENSION
OF CANDIDATE
Iiu
(PLEASE TYPE OR PRINT)
5 ADDRESS OF CANDIDATE
STREET/ PO BOX; APT /SUITE #; CITY; STATE; ZIP CODE
(PLEASE TYPE OR PRINT)
7-Y
6 OFFICE SOUGHT
BY CANDIDATE
(PLEASE TYPE OR PRINT)
�•
7 NAME OF COMMITTEE
(PLEASE TYPE OR PRINT)
6 NAME OF CAMPAIGN
TITLE (Dr., Mr., Ms.. etc.) FIRST MI
TREASURER
eUy/
(PLEASE TYPE OR PRINT)
_�
NICKNAME LAST SUFFIX SR., JR., III, etc.
I A) Oca+ 6 M le,
GO TO PAGE 2
Forms provided by Texas Ethics Commission www.ethics.staie.tx.us Revised 11112021
CODE OF FAIR CAMPAIGN PRACTICES
There are basic principles of decency, honesty, and fair play that every candidate and political committee in this state
has amoral obligation to observe and uphold, in order that, after vigorously contested but fairly conducted campaigns,
our citizens may exercise their constitutional rights to a free and untrammeled choice and the will of the people maybe
fully and clearly expressed on the issues.
THEREFORE:
(1) I will conduct the campaign openly and publicly and limit attacks on my opponent to legitimate challenges to my
opponent's record and stated positions on issues.
(2) I will not use or permit the use of character defamation, whispering campaigns, libel, slander, or scurrilous attacks
on any candidate or the candidate's personal or family life.
(3) I will not use or permit any appeal to negative prejudice based on race, sex, religion, or national origin.
(4) I will not use campaign material of any sort that misrepresents, distorts, or otherwise falsifies the facts, nor will I
use malicious or unfounded accusations that aim at creating or exploiting doubts, without justification, as to the
personal integrity or patriotism of my opponent.
(5) 1 will not undertake or condone any dishonest or unethical practice that tends to corrupt or undermine our system
of free elections or that hampers or prevents the full and free expression of the will of the voters, including any
activity aimed at intimidating voters or discouraging them from voting.
(6) I will defend and uphold the right of every qualified voter to full and equal participation in the electoral process,
and will not engage in any activity aimed at intimidating voters or discouraging them from voting.
(7) I will immediately and publicly repudiate methods and tactics that may come from others that I have pledged not
to use or condone. I shall take firm action against any subordinate who violates any provision of this code or the
laws governing elections.
I, the undersigned, candidate for election to public office in the State of Texas or campaign treasurer of a political
committee, hereby voluntarily endorse, subscribe to, and solemnly pledge myself to conduct the campaign in accordance
with the above principles and practices.
Signal Date
Forms provided by Texas Ethics Commission www.ethics.state.tx.us Revised 111!2021