Online Application

INSTRUCTIONS FOR SUBMISSION OF APPLICATION

Applications may be submitted online using the form below, or via U.S. mail by downloading the PDF application and instructions by clicking here and completing the form by hand.  

To apply online, the application below must be completed in full, even though the résumé contains similar information.   Applications submitted online will be considered incomplete until the Selection Committee has received an applicant’s References from their Sponsors.  Sponsor forms may be submitted either online using the link below, or via U.S. mail.  If Sponsor forms are submitted via U.S. mail, 8 copies of each form submitted via mail must be forwarded to the Selection Committee at the address, and on the forms, provided in the PDF application available at the link above.

SPONSORS:   Click here to submit an online reference for a nominee.  

Applications must be completely received and/or postmarked by June 30. 

Click here for information regarding the Selection Process and Program Requirements.

Please apply online by filling out the application form below and uploading a résumé.    Fields marked with an asterisk (*) are required.  Applications will not be considered complete until an applicant’s Republican and Community Sponsors have submitted their references.
 

* First Name:
* Last Name:
Nickname:
* Address:
* City, State, Zip:	,  -- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
* E-Mail Address:
* Home Phone #:	--
Work Phone #:	--
Cell Phone #:	--
* Age:	* DOB (MM/DD/YYYY): 01 02 03 04 05 06 07 08 09 10 11 12 / 01 02 03 04 05 06 07 08 09 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 / 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
	I am a registered republican
* How did you learn about the Vesta Roy Series?
	I have NOT been convicted of any crime which has not been annulled by a court, except minor traffic violations.
* If yes, please provide additional information:
* Employment Position:
* Company:
* Company Address:
* Company City, State, Zip:	,  -- AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY
	I have been a candidate for elective office or party leadership.
* What office? When? And Where?:
	I have served as an elected or appointed government official.
* State the position and the dates of service:
	I am currently a candidate for a paid or unpaid government post at any level.
* What post?
* Upload your Resume: (NOTE: This must be a PDF or Word Document)
Aspiration Statement
* Why are you applying to the Vesta Roy Series? And what do you hope to gain from your participation?
Applicants must submit 2 references, one from a "Republican Sponsor" and one from a "Community Sponsor". A "Republican Sponsor" is a sponsor who is an elected Republican official or activist. A "Community Sponsor" is a person who is a leader in the applicant's hometown. Please indicate in the spaces provided below the names of those persons who will serve as your sponsors. Please make sure that your sponsors are clear as to whether they will be serving as your Republican or Community Sponsor, and whether they will be submitting their forms online by clicking on the link above to access the online sponsor form, or via U.S. mail in which case sponsors should follow the mail-in instructions set forth in the PDF form above.
* My Republican Sponsor is:
* My Community Sponsor is:
*	By checking this box, I certify that I have read the information provided relative to the Selection Process and Program Requirements, and agree to comply with the requirements of the Vesta Roy Series as stated.
* Please enter the characters in the image below: