* indicates required fields
Preferred Gender Pronouns:*
Union or Organization*
Billing Contact Name (if different from above):
Billing Contact Phone:
Billing Email Address:
Billing Zip Code:
Scholarships are need based. Do you need a scholarship? –None–YesNo
If yes, please explain the need:
A limited number of scholarships are available to community based organizations with an operational budget of 700k or less. Scholarships will be provided in the form of a reduced registration rate.
Please help us understand how we are doing on equity and inclusion in our outreach. Filling this out will not impact your acceptance into our program.The Lead Organizer Training welcomes participation from people of all races, ethnicities, national origins, and gender identities.
Race Selection:Asian/Asian AmericanBlack/African AmericanCaucasian/WhiteNative AmericanLatina/o/ePacific IslanderOther
Gender Selection:FemaleGender non-conforming/non-binaryMaleTransgender
Are you an Immigrant:–None–YesNo
If you are an immigrant, what country are you from?
All participants must have a Zoom account. Do you have one or will you have one by the time class starts?–None–YesNo
Will you need tech support?:
Please fill out as thoroughly as possible.
Time with union or organization:*
Name of supervisor:*
Supervisor Phone Number:*
Site Supervisor Title:*
Please fill out as thoroughly as possible
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?*
Labor Center Workshop Confidentiality Agreement:
I understand that the 2021 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.