Candidate Application — Independent Ireland

Apply to run for Independent Ireland

If you would like to run as a first time candidate or are an existing candidate that would like to align with us, please complete the form below and our candidate assessment team will contact you to discuss your application.

Name

First Name

Last Name

Email

Phone

(###)

###

####

Your LEA/Constituency

Are you currently or have you been a member of a political party in the past

(please provide details)

Have you contested elections previously?

(Please provide a brief summary of results)

Other information

Please provide any other relevant information in relation to your application

Questions or Queries?

Privacy

By submitting this form I agree that my details will be used by Independent Ireland to contact me by phone, email and/or text to discuss my application. If you want more information on your rights or our full privacy policy or how Independent Ireland holds your data and how it will contact you see our privacy policy in the footer of this page.

I agree to the above

Candidate Application of Interest

Apply to run for Independent Ireland