Applicant Information

* 1. Full Name

* 2. Cell Phone

* 3. Email

* 4. What is the Zip Code of city you live in?

* 5. What is the name of city you live in?

* 6. How many years have you lived in your CURRENT City?

* 7. Union Membership:

* 8. Union Sponsor:

* 9. Do you currently hold or have you previously held public office(s)? If yes, what public office(s) do you / or have you held and when?

* 10. Have you ever been before the COPE board? If yes, what was the outcome?

* 11. What is your job classification?

* 12. How long have you been a union member?

* 13. Which unions have you belonged to? Please list all.

* 14. Briefly summarize your work within your union. (250 word limit)

* 15. Have you considered holding appointed or elective office before? If so, what have you considered?

* 16. Briefly summarize your personal background; work experience, education, community involvement, etc. (250 word limit)

* 17. Please summarize why you are interested in the LA Fed Civic Leadership Academy, and what you hope to gain from it. (400 word limit)