<?xml version="1.0" encoding="UTF-8" standalone="yes"?><oembed><version><![CDATA[1.0]]></version><provider_name><![CDATA[Fiona Radić]]></provider_name><provider_url><![CDATA[https://fionaradic.wordpress.com]]></provider_url><author_name><![CDATA[Fiona Radic]]></author_name><author_url><![CDATA[https://fionaradic.wordpress.com/author/fionaradic/]]></author_url><title><![CDATA[Candidate Application Form for Parish or Local&nbsp;Elections]]></title><type><![CDATA[link]]></type><html><![CDATA[<p>This form can be used if you wish to propose yourself as a Green Party election candidate in a local or parish election.</p>
<div id='contact-form-2006'>
<form action='https://fionaradic.wordpress.com/election-agent-public/candidate-application-parish-local/#contact-form-2006' method='post' class='contact-form commentsblock'>

<div class='grunion-field-wrap grunion-field-name-wrap'  >
<label
				for='g2006-fullname'
				class='grunion-field-label name'
				>Full Name<span>(required)</span></label>
<input
					type='text'
					name='g2006-fullname'
					id='g2006-fullname'
					value=''
					class='name' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-emailaddress'
				class='grunion-field-label text'
				>Email address<span>(required)</span></label>
<input
					type='text'
					name='g2006-emailaddress'
					id='g2006-emailaddress'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-phonenumber'
				class='grunion-field-label text'
				>Phone Number<span>(required)</span></label>
<input
					type='text'
					name='g2006-phonenumber'
					id='g2006-phonenumber'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-textarea-wrap'  >
<label
				for='contact-form-comment-g2006-address'
				class='grunion-field-label textarea'
				>Address<span>(required)</span></label>
<textarea
		                name='g2006-address'
		                id='contact-form-comment-g2006-address'
		                rows='20' class='textarea'  required aria-required='true'></textarea>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-postcode'
				class='grunion-field-label text'
				>Post Code<span>(required)</span></label>
<input
					type='text'
					name='g2006-postcode'
					id='g2006-postcode'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-firstchoiceofparishorward'
				class='grunion-field-label text'
				>First Choice of Parish or Ward<span>(required)</span></label>
<input
					type='text'
					name='g2006-firstchoiceofparishorward'
					id='g2006-firstchoiceofparishorward'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-secondchoiceofparishorward'
				class='grunion-field-label text'
				>Second Choice of Parish or Ward<span>(required)</span></label>
<input
					type='text'
					name='g2006-secondchoiceofparishorward'
					id='g2006-secondchoiceofparishorward'
					value=''
					class='text' 
					required aria-required='true'
				/>
	</div>

<div class='grunion-field-wrap grunion-field-text-wrap'  >
<label
				for='g2006-thirdchoiceofparishorward'
				class='grunion-field-label text'
				>Third Choice of Parish or Ward</label>
<input
					type='text'
					name='g2006-thirdchoiceofparishorward'
					id='g2006-thirdchoiceofparishorward'
					value=''
					class='text' 
					
				/>
	</div>

<div class='grunion-field-wrap grunion-field-radio-wrap'  >
<label
				for='g2006-areyouagreenpartymemberandingoodstanding'
				class='grunion-field-label'
				>Are you a Green Party Member and in good standing?<span>(required)</span></label>
		<label class='grunion-radio-label radio'><input
									type='radio'
									name='g2006-areyouagreenpartymemberandingoodstanding'
									value='Yes' class='radio'  required aria-required='true'/> Yes</label>
		<div class='clear-form'></div>
		<label class='grunion-radio-label radio'><input
									type='radio'
									name='g2006-areyouagreenpartymemberandingoodstanding'
									value='Member in grace' class='radio'  required aria-required='true'/> Member in grace</label>
		<div class='clear-form'></div>
		<label class='grunion-radio-label radio'><input
									type='radio'
									name='g2006-areyouagreenpartymemberandingoodstanding'
									value='Previously a member' class='radio'  required aria-required='true'/> Previously a member</label>
		<div class='clear-form'></div>
		<label class='grunion-radio-label radio'><input
									type='radio'
									name='g2006-areyouagreenpartymemberandingoodstanding'
									value='Not joined yet' class='radio'  required aria-required='true'/> Not joined yet</label>
		<div class='clear-form'></div>
		<label class='grunion-radio-label radio'><input
									type='radio'
									name='g2006-areyouagreenpartymemberandingoodstanding'
									value='Member of another political party' class='radio'  required aria-required='true'/> Member of another political party</label>
		<div class='clear-form'></div>
	</div>

<div class='grunion-field-wrap grunion-field-textarea-wrap'  >
<label
				for='contact-form-comment-g2006-pleaseaddyourownmessagehere'
				class='grunion-field-label textarea'
				>Please add your own message here</label>
<textarea
		                name='g2006-pleaseaddyourownmessagehere'
		                id='contact-form-comment-g2006-pleaseaddyourownmessagehere'
		                rows='20' class='textarea'  ></textarea>
	</div>
	<p class='contact-submit'>
		<button type='submit' class='pushbutton-wide'>Submit</button>		<input type='hidden' name='contact-form-id' value='2006' />
		<input type='hidden' name='action' value='grunion-contact-form' />
		<input type='hidden' name='contact-form-hash' value='e6c637527ac01766adabb69f15ac9fcf66ba4b53' />
	</p>
</form>
</div>
<p>&nbsp;</p>
<p>&nbsp;</p>
<p>&nbsp;</p>
]]></html></oembed>