Registration

Thank you for your interest in learning more about Women's Policy Institute-State. You may use this form to register for one of our informational webinars. For more information about the application process and the program itself, please visit our website or contact Program Associate Tania Flores at taniaf@womensfoundca.org

* 1. Your full name:

* 2. Your email:

* 3. Your organization:

* 4. Your city: 

California Counties by Region
Upstate California
Del Norte
Siskiyou
Modoc
Humboldt
Trinity
Shasta 
Lassen 
Mendocino
Tehama 
Plumas
Butte
Lake
Sierra
Colusa
Yuba
Sutter
Glenn
Bay Area
Sonoma
Napa
Marin
Solano
Contra Costa
Alameda
San Francisco
San Mateo
Santa Clara
Central Coast
Santa Cruz
San Benito
Monterey 
San Luis Obispo
Central Sierra
Amador
Alpine
Calaveras
Inyo
Mariposa
Mono 
Tuolumne

Central Valley
Fresno
Kern
Kings
Madera
Merced
San Joaquin
Stanislaus
Tulare

Inland Empire
Riverside
San Bernardino
Los Angeles
Santa Barbara
Ventura
Los Angeles
Orange

Sacramento Region
Nevada
Yolo
Placer
El Dorado
Sacramento
San Diego/Imperial
Imperial
San Diego

* 6. Under which of the following issue areas are you interested in applying?

* 7. Have you applied for a WPI program in the past?

* 8. How did you hear about the WPI?

* 9. Please select the date of the webinar you plan to join:

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