Lead Organizer Training Application

* indicates required fields

Contact Information

First Name*

Last Name*

Preferred Gender Pronouns:*

Union or Organization*

Job Title*

Email*

Phone*

Mobile*

Billing Contact Name (if different from above):

Billing Contact Phone:

Billing Email Address:

Billing Street:

Billing City:

Billing State:

Billing Zip Code:

Scholarship Request:

Scholarships are need based. Do you need a scholarship?

If yes, please explain the need:

A limited number of scholarships are available to community-based organizations with an operational budget of $800,000 or less. Scholarships will be provided in the form of a reduced registration fee.

Optional Demographic Information:

Please help us understand how we are doing on equity and inclusion in our outreach. Filling this out will not affect your acceptance into our program. The Lead Organizer Training welcomes participation from people of all races, ethnicities, national origins, and gender identities.

Race Selection:

Gender Selection:

Are you an immigrant:

If you are an immigrant, what country are you from?

Organization Type:

Food Restrictions or Allergies:

Special Accommodations:

Short Answer Questions

Please fill out as thoroughly as possible.

Time with union or organization:*

Name of supervisor:*

Supervisor Email:*

Supervisor Phone Number:*

Site Supervisor Title:*

How many people are you currently leading and what are their roles?*

What campaign are you working on and what are the goals of the campaign?*

What will be the most challenging aspect of your work in the next two years? How will you and your organization overcome this challenge or obstacle?*

What skills do you believe are needed to be a successful lead?*

What do you hope to gain from this training?*

Additional Comments:

Labor Center Confidentiality Agreement.

Labor Center Workshop Confidentiality Agreement:
I understand that the 2023 Lead Organizer Training may use organizing campaigns in which other workshop participants are currently engaged as case studies for training and educational purposes. I also understand that information regarding details of those campaigns—including campaign objectives, strategies and tactics, and the identity of individuals working on the campaigns—are confidential and proprietary, and will be provided to me during the workshop in reliance on my agreement not to disclose them to unauthorized persons. By applying to participate in this workshop, I agree that I will not disclose information regarding the details of any organizing campaigns that I may learn as a result of my participation in the workshop to any person other than fellow workshop participants and staff.

Confidentiality Agreement:*