First Name *

Last Name *

Email *

Mobile phone *

What is your age range? *

How likely are you to run for office? *

If you are considering running for office, what is your time frame? Optional.

List up to three locations where you may consider running for office or staffing a campaign. Optional. Please indicate city and state, or other relevant jurisdiction (e.g., "Suffolk County").

I am clear about my core values. * Rate your agreement with this statement.

I am clear about my leadership mission. * Rate your agreement with this statement.

I am clear about my shadow mission. * Rate your agreement with this statement.

I have crafted a public narrative that clearly tells the story of who I am and why I would like to run. * Rate your agreement with this statement.

I have reflected on key aspects of identity and how they might influence my experience as a candidate and elected official. * Rate your agreement with this statement.

I know how to invite potential donors to invest in my campaign. * Rate your agreement with this statement.

I have organized my network with contact information of potential supporters. * Rate your agreement with this statement.

I understand the value of community connections better after Foundations. * Rate your agreement with this statement.

Please share any feedback related to the logistics and administration of the program (ie application process, workbook, Google Classroom, scheduling) that might help us to provide a high quality experience. *

The strongest elements of the Foundations program were... *

In the future, the Foundations program could be strengthened by… *

Foundations provided a setting where I felt like I could express myself. * New Politics Leadership Academy is committed to inclusion. This response will be used to assess how we can strengthen our programming. Please rate your agreement with this statement.

Foundations provided a setting where I felt like my contributions were valued. * New Politics Leadership Academy is committed to inclusion. This response will be used to assess how we can strengthen our programming. Please rate your agreement with this statement.

If your responses to either of the questions above were “somewhat disagree” or “strongly disagree,” please provide an explanation so that we can address any concerns or make future improvements. *

How likely are you to recommend Foundations to qualified friends or colleagues? * Very LikelySomewhat LikelyNeutral/MixedSomewhat UnlikelyVery Unlikely

Please share a quote with us about your Foundations experience! Optional. For use in testimonials and other promotional materials.

Alumni Directory NPLA maintains a directory of our graduates that we make available to program alumni for the purpose of fostering grassroots connections within our community and advancing the service to politics movement. The directory includes each graduate’s name, email address, LinkedIn, service background, home city and state, and class year. Graduates of our programs are added by default, but if you would like to opt out of being included, please check here. Do NOT include me in the directory.

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