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C.L. Dellums African American Leadership School Application




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Billing Contact

*Billing Contact Name:

*Billing Contact Phone:

*Billing Email Address:

Point Person for your Team or Group

*Point Person:

*Point Person Email:

*Point Person Phone:

Short Answer Questions

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*What is your current role in your organization?

*How long have you been in your current role in your organization?

*Please explain the current campaign you are working on?

*How have you been impacted by the Black jobs crisis and/or mass incarceration?

*What impact has the COVID-19 pandemic had on you, your family and your work life? What changes have you had to make to adapt?

*What other issues are you involved with or care about? What organizations or groups are you a part of?

*What do you hope to gain from your participation in the C.L. Dellums African American Leadership School? How can the we best support you in your leadership development goals?

*If you are not currently in a leadership role, do you aspire to be in a leadership role in the future?

*Please elaborate on your leadership development plans. What kind of experience and skills building would you want to build on or obtain?

*What are some opportunities and resources available to you in your organization?

*What are some of the obstacles or lack of resources in your organization? How do you plan to move forward given the challenges?

*What is your vision for strengthening your organization and or building power for your membership base?

*What social justice issue does Labor need to tackle that’s impacting Black communities?

OPTIONAL INFORMATION

Current Age:

Race:

Gender:

Are you an Immigrant:

What country are you from:

Preferred Gender Pronouns: