2019 Mass Alliance Grassroots Campaign Training Application
We are so excited to have you apply for our Grassroots Campaign Training! If you have any questions about any part of the questionnaire please call Jordan Berg Powers at 617-722-4320 or e-mail jordan@massalliance.org.
Email address *
First Name *
Your answer
Last Name *
Your answer
Address *
Your answer
Phone Number *
Your answer
Training you wish to apply for *
Required
Tuition for the training is $90 and covers just the materials, breakfast and lunch. We encourage people to give more to subsidize those who can’t afford the cost. For those who can’t afford the full cost please contact us for a lower rate. *
Meals – Training will include breakfast and lunch provided by Mass Alliance. Please specify if you have any food allergies or preferences (vegan, vegetarian, peanut allergy, etc)
Your answer
Demographics (optional): What racial or ethnic group(s) do you identify with?
Your answer
What is your age/age group? *
Next
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service