Campaign Organizing and Leadership Institute, May 2021

This Application is for the Campaign Organizing and Leadership Institute scheduled for May 25 – 27, 2021.

Your Application must be submitted with your Letter of Reference by April 30, 2021 at 11:59 PM. Applicants will receive notice as to selection by May 10, 2021, via email.

You can save and continue your work, do not press submit until you have attached your Letter of Reference.

Please email sarah.a.williams@heart.org with questions.

Letter of Reference Form (.docx)     Institute Information Flyer (.pdf)

Application

Campaign Organizing and Leadership Institute May 2021 Application

  • Name
  • Address * Required
  • Current Project/Campaign

    Please provide your current CTCP-funded project information.
  • What is the policy issue that your Coalition is pursuing?
  • Past Campaign or Project Experience

  • Please list policy campaigns you have engaged with in your experience.
  • Statement of Interest

  • Application Questions

  • 6. Have you provided public testimony or comment (city council/board of supervisors), given presentations to community organizations and/or events, and/or participated in media interviews? * Required
    Select all that apply.
  • 1 = Low, 5 = High
    12345
  • 9. Which, if any, of these key organizing tools such have you used? Options: Midwest Academy Strategy Chart, Decision Maker Matrix, Circles of Influence * Required
    Select all that apply.
  • 10. Have you ever attended the Midwest Academy Organizing Training? * Required
  • 13. Who will you share your learning from the Institute with? * Required
    Select all that apply.
  • 14. Need for non-English language services * Required
  • Please name your files as Applicant's "Last Name_First Name_Letter of Reference" (e.g., Williams_Sarah_Letter of Reference". Files may be .docx, .doc, and .pdf.
    Drop files here or
    Accepted file types: docx, doc, pdf.