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dcccd.edu/coronavirus for additional information and to
find contact information for various departments.If you need additional assistance, please visit
My Community Services and our
Community Employment Resources.
Prescribed by Secretary of State
Section 141.031, Chapters 143 and 144, Texas Election Code
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.
DCCCD Trustee, District 6
1134 Mountain Lake Rd.
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.
Signature of Officer Administering Oath
Title of Officer Administering Oath
TO BE COMPLETED BY CITY SECRETARY OR SECREATARY OF BOARD:
(See Section 1.007)
Signature of Secretary
Voter Registration Status Verified