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Email *

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Street Address

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City

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Current occupation

Gender * New Politics does not discriminate on the basis of gender identity or expression. Male Female Non-binary or third gender Other Prefer not to say

Ethnicity, Origin, or Race * Please select all that apply. New Politics does not discriminate on the basis of race or ethnicity. AsianBlack or African-AmericanHispanic or LatinxNative American or American IndianPacific IslanderWhitePrefer not to answerOther

How did you hear about New Politics Leadership Academy? * Friend or Colleague NPLA Alumni Social Media National Service Alumni Network Military Veteran Organization Flyer Job Board Podcast/Radio Ads Higher Education Institution Other Recruited

What is the name of the person who referred or recruited you?

What is the nature of your service experience? * AmeriCorpsAmeriCorps City YearAmeriCorps JusticeCorpsAmeriCorps NCCCAmeriCorps Public AlliesAmeriCorps Teach for AmericaAmeriCorps VISTAAmeriCorps YouthbuildJesuit Volunteer CorpsPeace CorpsU.S. Air ForceU.S. ArmyU.S. Coast GuardU.S. Marine CorpsU.S. National GuardU.S. NavyOtherNo military or national service experienceForeign Service OfficerIntelligence Community

If you selected "Other" service experience, please explain below in fewer than 255 characters:

Are you willing to facilitate a virtual group? * Yes No

Facilitation experience * Please briefly describe what experience you have with facilitating small group learning experiences.

Briefly explain how you understand the work of facilitation. *

Willingness & Ability to Manage Logistics * If chosen, facilitators take the lead on finding a local venue and managing logistics. Please tell us a bit about your willingness and ability to manage the administrative dimension of this role.

Briefly explain why you are interested in becoming an Answering the Call facilitator. *

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