Winter 2022 Leading For Change Nonpartisan Progressive Candidate Training

Winter 2022 Application

Participants will attend 3 weekend workshops to complete the course:

Dates to be set in late December.

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.

Question Title

* 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

Question Title

* 2. How did you learn about this training?

Flyer

Word-of-Mouth

Staff

Website

Facebook

Other (please specify)

Question Title

* 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

White

Other (please specify)

Question Title

* 4. What is your gender?

Female

Male

Other (please specify)

Question Title

* 5. Are you a First Generation American?

Yes

Question Title

* 6. Do you identify as LGBTQ?

Yes

Question Title

* 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

Question Title

* 8. Military status: Are you a veteran?

Yes

Question Title

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

Elementary School

Middle School

High School

Undergraduate

Graduate

Ph.D.

Other (please specify)

Question Title

* 10. Have you ever run for elected office?

Yes

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

Question Title

* 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)

Question Title

* 12. Are you planning to run for office?

Yes

Question Title

* 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

Other (please specify)

Question Title

* 14. What office or type of campaign are you most interested in running for?

Congress

State House

State Senate

School Board

Ballot Initiative

Unsure at this time

Other (please specify)

Question Title

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

Question Title

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

Question Title

* 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.)

Question Title

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

Question Title

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

Question Title

* 20. The training takes place over three weekends (not consecutive weekends) virtually on Zoom:
DATES TO BE ANNOUNCED
Will you generally be able to attend all-day Saturday and Sunday training days?

Yes

Other (please specify)

Question Title

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

Question Title

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

Yes

Question Title

* 1. Name and Contact Information:

Question Title

* 2. How did you learn about this training?

Question Title

* 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

Question Title

* 4. What is your gender?

Question Title

* 5. Are you a First Generation American?

Question Title

* 6. Do you identify as LGBTQ?

Question Title

* 7. What is your age?

Question Title

* 8. Military status: Are you a veteran?

Question Title

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

Question Title

* 10. Have you ever run for elected office?

Question Title

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

Question Title

* 12. Are you planning to run for office?

Question Title

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

Question Title

* 14. What office or type of campaign are you most interested in running for?

Question Title

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

Question Title

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

Question Title

* 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.)

Question Title

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

Question Title

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

Question Title

* 20. The training takes place over three weekends (not consecutive weekends) virtually on Zoom: DATES TO BE ANNOUNCEDWill you generally be able to attend all-day Saturday and Sunday training days?

Question Title

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

Question Title

* 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 (not consecutive weekends) virtually on Zoom:
DATES TO BE ANNOUNCED
Will you generally be able to attend all-day Saturday and Sunday training days?