2023 Fall-Winter Leading For Change Nonpartisan Progressive Candidate Training

Winter 2023 Application

To learn more visit https://www.azleadingforchange.org

Applicants are accepted on a rolling basis.

Class size is limited. Apply early.

Participants will attend 3 weekend workshops to complete the course: Dates to be decided. Upon completion of this application you will be contacted for date updates.

If you have any questions regarding the application or acceptance process, please contact Beth Meyer at bmeyer@azleadingforchange.org.
You can also call 602.253.0119.
A short phone interview will be scheduled upon receipt of your application.

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* 1. Name and Contact Information:

First Name:

Last Name:

Preferred Pronouns:

Email Address

Phone Number:

Mailing Address:

Legislative District:

City:

State:

Zip Code:

Employer

Occupation

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* 2. How did you learn about this training?

Flyer

Word-of-Mouth

Staff

Website

Facebook

Alumni

Other (please specify)

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* 3. OPTIONAL DEMOGRAPHIC INFORMATION:
Based on your comfort level, please fill in all or some of the information below in questions 3-9. All information will be kept confidential and is not used for determining your acceptance into the Candidate Training.

Race/Ethnicity

African American

Native American

Asian American/Pacific Islander

Hispanic/Latinx

White

Other (please specify)

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* 4. What is your gender?

Female

Male

Other (please specify)

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* 5. Are you a First Generation American?

Yes

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* 6. Do you identify as LGBTQ+ ?

Yes

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* 7. What is your age?

18 to 24

25 to 34

35 to 44

45 to 54

55 to 64

65 to 74

75 or older

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* 8. Military status: Are you a veteran?

Yes

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* 9. What is the highest level of education you have completed?

Elementary School

Middle School

High School

Undergraduate

Graduate

Ph.D.

Other (please specify)

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* 10. Have you ever run for elected office?

Yes

If Yes, when and what race? What was the result?

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* 11. Have you ever managed or held a leadership role on a candidate or ballot initiative campaign?

Yes

I was a part of a team, but did not manage

Other (please specify)

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* 12. Are you planning to run for office?

Yes

Considering

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* 13. When do you plan to run for office?

Within the next year

Within the next 2-to-3 years

Within five years

Within ten years

Unsure

Other (please specify)

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* 14. For what office or type of campaign are you most interested in running?

Congress

State House

State Senate

School Board

Unsure at this time

Other (please specify)

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* 15. In what district will you be running in? (City district, legislative district, school district, etc.). If unsure, please write in "unsure."

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* 16. If running for an office, what changes do you want to make?

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* 17. Please describe any political or civic engagement work you are currently doing or have done in the past. (e.g. issue campaign volunteer, candidate campaign volunteer, GOTV, none.)

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* 18. This is a non-partisan training for individuals who self-identify as progressive. Please describe what progressive means to you.

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* 19. What do you hope to gain from this training?

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* 20. The training takes place over three weekends - each virtually on Zoom:
Weekend 1: September 30 & October 1
Weekend 2: October 7 & 8
Weekend 3: October 14 & 15
Will you be able to attend all-day Saturday and Sunday training days?

Yes

Other (please specify)

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* 21. Is there anything else that you'd like to share about yourself?

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* 22. The cost of this training is $400. Will you require a partial tuition scholarship if funds remain available?

Yes

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* 1. Name and Contact Information:

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* 2. How did you learn about this training?

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* 3. OPTIONAL DEMOGRAPHIC INFORMATION: Based on your comfort level, please fill in all or some of the information below in questions 3-9. All information will be kept confidential and is not used for determining your acceptance into the Candidate Training.Race/Ethnicity

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* 4. What is your gender?

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* 5. Are you a First Generation American?

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* 6. Do you identify as LGBTQ+ ?

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* 7. What is your age?

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* 8. Military status: Are you a veteran?

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* 9. What is the highest level of education you have completed?

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* 10. Have you ever run for elected office?

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* 11. Have you ever managed or held a leadership role on a candidate or ballot initiative campaign?

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* 12. Are you planning to run for office?

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* 13. When do you plan to run for office?

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* 14. For what office or type of campaign are you most interested in running?

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* 15. In what district will you be running in? (City district, legislative district, school district, etc.). If unsure, please write in "unsure."

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* 16. If running for an office, what changes do you want to make?

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* 17. Please describe any political or civic engagement work you are currently doing or have done in the past. (e.g. issue campaign volunteer, candidate campaign volunteer, GOTV, none.)

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* 18. This is a non-partisan training for individuals who self-identify as progressive. Please describe what progressive means to you.

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* 19. What do you hope to gain from this training?

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* 20. The training takes place over three weekends - each virtually on Zoom: Weekend 1: September 30 & October 1Weekend 2: October 7 & 8Weekend 3: October 14 & 15Will you be able to attend all-day Saturday and Sunday training days?

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* 21. Is there anything else that you'd like to share about yourself?

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* 22. The cost of this training is $400. Will you require a partial tuition scholarship if funds remain available?

* 3. OPTIONAL DEMOGRAPHIC INFORMATION:
Based on your comfort level, please fill in all or some of the information below in questions 3-9. All information will be kept confidential and is not used for determining your acceptance into the Candidate Training.

Race/Ethnicity

* 20. The training takes place over three weekends - each virtually on Zoom:
Weekend 1: September 30 & October 1
Weekend 2: October 7 & 8
Weekend 3: October 14 & 15
Will you be able to attend all-day Saturday and Sunday training days?