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Candidate Diana Flores

2-21

Prescribed by Secretary of State

Section 141.031, Chapters 143 and 144, Texas Election Code

1/2017

 

ALL INFORMATION IS REQUIRED TO BE PROVIDED UNLESS INDICATED OPTIONAL

APPLICATION FOR A PLACE ON THE May 2, 2020 GENERAL ELECTION BALLOT

TO: City Secretary/Secretary of Board

 

I request that my name be placed on the above-named official ballot as a candidate for the office indicated below.

OFFICE SOUGHT (Include any place number or other distinguishing number if any.)

DCCCD Trustee, District 6

INDICATE TERM:

Full

FULL NAME (First, Middle, Last)

Diana Flores

PRINT NAME AS YOU WANT IT TO APPEAR ON THE BALLOT

Diana Flores

PERMANENT RESIDENCE ADDRESS (Do not include a P.O. Box or Rural Route. If you do not have a residence address, describe the address at which you receive personal mail and location of residence.)

1134 Mountain Lake Rd.

PUBLIC MAILING ADDRESS (Campaign mailing address, if available.)

1134 Mountain Lake Rd.

CITY Dallas         

STATE TX

ZIP 75224

CITY  Dallas

STATE TX

ZIP 75224

PUBLIC EMAIL ADDRESS (If available)  dflores@dcccd.edu    

OCCUPATION (Do not leave blank) Nonprofit Administrator

DATE OF BIRTH 05/23/1951

VOTER REGISTRATION VUID NUMBER (Optional)

TELEPHONE CONTACT INFORMATION (Optional)

Home:

Work:

Cell: 214-727-1095

LENGTH OF CONTINUOUS RESIDENCE AS OF DATE APPLICATION SWORN

IN STATE 68 year(s)    8 month(s)

IN TERRITORY FROM WHICH THE OFFICE SOUGHT IS ELECTED

40 year(s)  _ month(s)

 

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 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.

Before me, the undersigned authority, on this day personally appeared (name) Diana Flores, who being by me here and now duly sworn, upon oath says:

"I, (name) Diana Flores, of Dallas County, Texas, being a candidate for the office of DCCCD Trustee, District 6, swear that I will support 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 finally convicted of a felony for which I have not been pardoned or had my full rights of citizenship restored by other official action. I have not been determined by a final judgement of a court exercising probate jurisdiction to be totally mentally incapacitated or partially mentally incapacitated without the right to vote. I am aware of the nepotism law, Chapter 573, Government Code.

"I further swear that the foregoing statements included in my application are in all things true and correct."

X Diana Flores

        SIGNATURE OF CANDIDATE

 

Sworn to and subscribed before me at Dallas County, TX, this the 17th  day of January  2020.

Michelle Vasquez

Signature of Officer Administering Oath

 

Notary Public

Title of Officer Administering Oath

 

TO BE COMPLETED BY CITY SECRETARY OR SECREATARY OF BOARD:

(See Section 1.007)

 

1/28/20

Date Received

 

Torsha McCarty

Signature of Secretary

 

Voter Registration Status Verified