The Armenian National Committee of America - Western Region requests candidates who wish to participate in the candidate evaluation process to submit a completed background information form and questionnaire.

The ANCA-WR will provide a copy of this form to each member of the Candidate Evaluation Committee in preparation for the endorsement decision. Candidate responses may also be made available to the general public before elections.

The Candidate Background Information Form and Questionnaire must be submitted electronically through this form or by mail to: ANCA WESTERN REGION, 104 N. Belmont St., Suite 200, Glendale, CA 91206. Only candidates who submit a completed questionnaire or have a proven track record on issues of importance to the Armenian-American community will be eligible for consideration of an endorsement by the ANCA-WR. At its discretion, the ANCA-WR may invite those candidates who submit a completed questionnaire for an in-person interview before making an endorsement decision.

Candidates can submit their responses to the questionnaire in the form below, or by completing this PDF form and emailing a copy to the ANCA-WR's Government Affairs Coordinators Ruben Karapetian ( and Edward Barsoumian (