Candidate Screening

The Libertarian Party of Canada requires prospective candidates to provide the information requested on this form for further consideration. Information provided will only be used internally to determine the eligibility of an individual for candidacy. The Libertarian Party of Canada reserves the right to terminate a candidacy if information provided on this form is found to be inaccurate at any point in time.

Privacy Statement

The Libertarian Party of Canada prides itself on championing privacy rights. As such, we take great efforts to ensure the protection and privacy of personal information. Security and confidentiality are paramount to our party’s values.

Our full privacy statement is available on our website at https://www.libertarian.ca/privacy

What is your full legal name

Your information

First name

Last name

Mobile phone

Country

Street address

Apt, suite, etc.

City

State

Zip code

Street address

Apt, suite, etc.

City

Province

Postal code

Street address

Apt, suite, etc.

City/Suburb

Postal code

State/territory

Street address

Apt, suite, etc.

City

Postal code

Building number and street name

Address 2

City

Postcode

Street and building number

Apt, suite, etc.

Postal code

City

Province

Street address

Apartment, suite, etc.

Postal code

City

Street and building number

Apt, suite, etc.

Postal code

City

Street address

Apt, suite, etc.

Postal code

City

State/region

I want to volunteer

Don’t publish this on the website

Send me email updates

Send me text message updates