1. Introduction & Background Information

Thank you for your interest in the Washington County Civic Leaders Program. This project is a collaboration between Adelante Mujeres and Washington County, which seeks to build capacity within underrepresented communities (specifically, communities of color) to become better engaged in County government decision making and processes. Cohort leaders complete a 6 week, virtual leadership training that covers topics related to civic engagement.

We are collecting applications through Monday, October 4th, 2021 (11:59PM PST) and will notify those selected to participate by Friday, October 8th, 2021, end of day. All information shared via this application will be treated confidentially; solely for selecting participants for this program.

The application is split into 3 sections so please remember to save your responses as you go.

Question Title

* 1. What is your first name?

Question Title

* 2. What is your last name(s)?

Question Title

* 3. What is your gender?

Question Title

* 4. What is your prefered pronouns?
(For reference:https://www.mypronouns.org/)

Question Title

* 5. Contact information:

Question Title

* 6. Do you live in Washington County?   Note: The project is only open to community members who live in Washington County.

Question Title

* 7. How long have you lived in Washington County?

Question Title

* 8. What is your age?

T