Center For Progressive Leadership - 2011 Local Progressive Candidate Training

To apply to be a part of the Local Progressive Candidate Training Program, please fill out the questions below. *Application deadline is 8/26/11.

You must fill out all information that is marked required:

* - indicates required field

First Name*:
Last Name*:
Primary Email*:
Phone*:
Street*:
Street 2:
City*:
State/Region*:
Zip/Postal Code*:
How did you learn about this program? *:
Please elaborate here*:
Who told you about this program? *:
Please elaborate here*:

The Center for Progressive Leadership is committed to diversity in our programs, including gender, ethnic, racial, economic, geographic, disability, sexual orientation and education. We ask that you complete these optional questions so we can assess our progress in creating a program that matches the full diversity of our states.
Ethnicity:
Other:
Educational Experience:
Gender:
Age:
Language Proficiency (Other than English):
Do you identify as GLBTQ?:
Are you a first generation American?:
Are you a first generation college student?:

Current Employment*:
Current Employment Position*:
Current Volunteer Work And/Or Community Activism You Are Engaged In*:
Which Candidate program are you interested in?*:

I Plan To Serve As A Campaign Manager*:
Why Are You Motivated To Serve As A Campaign Manager?*:
Please Specify What Office You Are Most Interested In Pursuing As A Campaign Manager*:
Other Office (if needed):
Indicate What District:
Why Are You Interested In This Particular Office? Or - If You Aren't Sure, Tell Us About Which Ones You Are Most Interested*:
Which Of The Following Forms Of Political Activism Have You Engaged In During The Last Year? Please Check All That Apply:	Voted Contacted an elected official Registered voters Contributed money or time to a campaign or cause Worked on an activism or policy campaign Attended a city council or school board meeting Spoke on behalf of myself or a group in the state legislature Spoke on behalf of myself or a group at the U.S. Congress in Washington, D.C. Other (Please specify below):

Have you ever served as a campaign manager?:
Have you ever served on a campaign staff?:
Participants of the Candidate Training Program cannot have already filed, formed an exploratory committee, or raised/spent money on their campaign.
Please answer the following three questions. Please write 1-2 short paragraphs in response to the following questions. Please be specific.
1. What leadership have you taken to make your community a better place?* (Maximum characters: 2000)

2. If your campaign is successful, what change will it create for your community?* (Maximum characters: 2000)
3. Where are you in the process of running a campaign?* (Maximum characters: 2000)
4. Please tell us about previous and current political and other relevant experience.* (Maximum characters: 2000)
5. Participants must be able to attend all 3 weekend workshops. Can you commit to Sept. 10-11, Oct. 8-9, and Nov. 12-13? * (Maximum characters: 2000)
6. What do you hope to get out of this training experience? Please include areas in which you need more information, training, or practice.* (Maximum characters: 2000)

We offer scholarships up to 50% of the total cost.
Will you be requesting a scholarship?
How much of the $300 fee can you cover yourself?:
Income Level:
Dependents:
Briefly describe why you need financial aid: (Maximum characters: 2000)
Have you consulted other channels to help you cover the fee for the program? If so, which ones? (Maximum characters: 2000)
In what manner would you pay for the balance of the fee not covered by a scholarhip?
How would you pay?

The Center for Progressive Leadership (CPL) is a nonprofit, nonpartisan 501(c)(3) educational organization.

CPL does not discriminate on the basis of race, ethnicity, gender, sexual orientation or party affiliation.
CPL does not lobby or support, endorse or oppose candidates for office. DHTML JavaScript Menu Courtesy of Milonic.com