| KOMITET WYBORCZY WYBORCÓW FORUM SAMORZĄDOWO-LUDOWE | |
| Specification | KOMITET WYBORCZY WYBORCÓW FORUM SAMORZĄDOWO-LUDOWE |
| Short name: | KWW FORUM SAMORZĄDOWO-LUDOWE |
| Type of committee: | Election committees established by electors |
| Address: | ul. gen. J. Hallera 17, 64-820 Szamocin |
| Electoral plenipotentiary: | Dariusz Rybarczyk |
| Financial plenipotentiary: | Maria Hajman-Błaszak |

Province wielkopolskie
| County list |
| Specification |
| pow. chodzieski |
| The statistics of election committe |
| Lists submitted | ||
| Specification | Number of | |
| lists | councils | |
| Lists submitted for province council | 0 | 0 |
| Lists submitted for county councils | 4 | 1 |
| Lists submitted for councils of cities holding county rights | 0 | 0 |
| Lists registered for communal councils | 49 | 4 |
| Totalling | 53 | 5 |
| Submitted candidates | |||||
| Specification | Number of candidates | Women | Women (%) | Men | Men (%) |
| Number of candidates submitted for the province council | 0 | 0 | - | 0 | - |
| Number of candidates submitted for county councils | 34 | 9 | 26,47% | 25 | 73,53% |
| Number of candidates submitted for councils of cities holding county rights | 0 | 0 | - | 0 | - |
| Number of candidates registered for communal councils | 59 | 15 | 25,42% | 44 | 74.58 |
| Number of candidates submitted for reeve, mayor and presidential elections | 4 | 0 | 0,00% | 4 | 100,00% |
| Totalling | 97 | 24 | 24,74% | 73 | 75,26% |
| Average age of submitted candidates | |||
| Specification | Average age | Average age of women | Average age of men |
| Average age of candidates submitted for the province council | - | - | - |
| Average age of candidates submitted for county councils | 50 | 54 | 49 |
| Average age of candidates for councils of cities holding county rights | - | - | - |
| Average age of candidates submitted for communal councils | 49 | 51 | 48 |
| Average age of candidates for reeve, mayor, president | 46 | - | 46 |
| Totalling | 49 | 52 | 48 |
| Submitted candidates for councils grouped by age | |||||
| Age | Number of candidates | Women | Women (%) | Men | Men (%) |
| 18-29 | 3 | 0 | 0,00% | 3 | 100,00% |
| 30-39 | 22 | 4 | 18,18% | 18 | 81,82% |
| 40-59 | 47 | 14 | 29,79% | 33 | 70,21% |
| 60+ | 21 | 6 | 28,57% | 15 | 71,43% |
| Totalling | 93 | 24 | 25,81% | 69 | 74,19% |
| Submitted candidates for reeve, mayor, president grouped by age | |||||
| Age | Number of candidates | Women | Women (%) | Men | Men (%) |
| 25-29 | 0 | 0 | - | 0 | - |
| 30-39 | 1 | 0 | 0,00% | 1 | 100,00% |
| 40-59 | 3 | 0 | 0,00% | 3 | 100,00% |
| 60+ | 0 | 0 | - | 0 | - |
| Totalling | 4 | 0 | 0,00% | 4 | 100,00% |
| The youngest and oldest submitted candidate for councils | ||
| Age | Institution | |
| Youngest | 27 | Rada Miasta i Gminy Szamocin |
| Oldest | 72 | Rada Powiatu Chodzieskiego |
| The youngest and oldest submitted candidate for reeve, mayor, president | ||
| Age | Institution | |
| Youngest | 35 | Wójt Gminy Chodzież |
| Oldest | 53 | Burmistrz Miasta i Gminy Szamocin |