First Name *
Last Name *
Email *
Mobile phone *
Program choice * Please select all options that would work with your schedule. 5 Week: Thursdays from 8:00 pm to 10:00 pm ET5 Week: Fridays from 11:00 am to 1:00 pm ET2 Day: Fridays from 12:00 pm to 5:00 pm ETNone of these options work for me, please reach out next season
Home address * Street address, line one
Home address Street address, line two
Home city *
Home state * AA AE AP AL AK AR AS AZ CA CO CT DE DC FL GA GU HI ID IL IN IA KS KY LA ME MD MA MI MN MP MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA PR RI SC SD TN TX UT VT VA VI WA WV WI WY
Home zip code *
LinkedIn profile Optional. Please paste a link.
Gender * New Politics Leadership Academy does not discriminate on the basis of gender identity or expression. Male Female Non-binary or third gender Other Prefer not to say
Gender: If you selected Other, we invite you to self-identify.
Race, Ethnicity, or Origin * Please select all that apply. New Politics Leadership Academy does not discriminate on the basis of race or ethnicity. AsianBlack or African-AmericanHispanic or Latina/o/xNative American or American IndianNorth African or Middle EasternPacific IslanderWhitePrefer not to sayOther
Race: If you selected Other, we invite you to self-identify.
How did you hear about this program? * Friend or Colleague NPLA Alumni National Service Alumni Network Military Veteran Organization Flyer Job Board Web search Higher Education Institution Recruited Facebook LinkedIn Snapchat I’m a State Teacher of the Year or Finalist Other
If you were referred or recruited, what is the name of the person/organization that referred or recruited you? We'd love to recognize partners and individuals who are reaching candidates!
What is the nature of your service experience? * If you identify your service under State and National AmeriCorps programs, like TFA or City Year please denote "AmeriCorps" here. AmeriCorpsAmeriCorps NCCCAmeriCorps VISTAAmeriCorps YouthbuildForeign Service OfficerHealthcare professional (including but not limited to providers, public health professionals, CDC, and policy experts)Intelligence CommunityJesuit Volunteer CorpsNonpartisan employee of a local, state or federal government officeNonprofit staffPeace CorpsState Teacher of the Year or FinalistTeacher in K-12 or nonprofit sectorU.S. Air ForceU.S. ArmyU.S. Coast GuardU.S. Marine CorpsU.S. National GuardU.S. NavyU.S. Space ForceOtherNo military or national service experience
Foundations supports people in preparing for a run for office. Please explain your motivation for considering this path. * Please answer in 100-250 words.
What are some of your concerns about a potential run for office? * Please answer in 100-250 words.
Political Typology * Please select all that apply. New Politics Leadership Academy is a nonpartisan nonprofit and welcomes participants of all typologies, ideologies, and parties and does not discriminate based on typology, ideology, or party affiliation. This information is collected to better understand our organization’s role in bridging social polarization. These categories might be new to you. They are based on the Pew Research Center’s political typology study. Learn more or take the 5 minute self-assessment here to get guidance about which option might describe your current typology. Faith & Flag ConservativeCommitted ConservativePopulist RightAmbivalent RightStressed SidelinerOutsider LeftDemocratic MainstaysEstablishment LiberalsProgressive LeftOtherPrefer not to say
Political Typology: If you selected Other, we invite you to self-identify. Optional. 255 character limit.
Special accommodations Optional. New Politics Leadership Academy is committed to making our programming inclusive of all people, of all abilities. If you require accommodations in order to participate, please let us know so we can make necessary arrangements.
Applicant Agreement * I will receive an email confirmation that my application has been successfully submitted. I verify that I am not currently running for office nor an elected official, nor will be during the duration of this program. (Please email lucy@newpoliticsacademy.org if you are running.) I agreeI do not agree
Comments
By submitting this form, you're consenting to being contacted by New Politics Leadership Academy. We'll never spam you and we respect your privacy.