Training Application

Training Application

Required fields

First Name:

Last Name:

Address 1:

Address 2:

City:

State:

Postal Code:

Country:

Daytime Phone:

Evening Phone:

E-mail:

In what capacity do you wish to attend the training?

I am seriously considering becoming an openly LGBT candidate in the future.

I am seriously considering becoming a campaign manager for an openly LGBT candidate in the future.

I am currently a campaign manager, staff or volunteer working for an openly LGBT candidate.

Political Party:

Have you ever worked on a political campaign? Yes

Have you ever run for political office? Yes

50-100 Word Statement of Interest:

First Reference

Name:

Title:

Phone number:

Email

What is the reference's relationship to you?

Second Reference

Name:

Title:

Phone number:

Email

What is the reference's relationship to you?

Which training would you like to attend?

Training

2009 International Gay & Lesbian Leadership Conference
December 3, 2009
Parc 55 Hotel San Francisco, California
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