WILDR Women's Leadership Political Circle Application
WILDR offers Women's Leadership Political Circles to women running for elected office in Santa Cruz County. The Circle is a group led by a facilitator and coach that meets monthly either in person or virtually to provide a safe and confidential space for candidates to network and support one another. Guest speakers are brought in as needed to provide training and prospective on running a campaign. Women are selected for each Circle based on their response to this application and an interview with a WILDR representative.
Sign in to Google to save your progress. Learn more
Name *
Cell Number for texting *
Street Address (including street and city.) *
What position are you running for?  Please indicate the position and/or jurisdiction *
Is this a partisan position, in other words do you have to declare a party affliation? *
Please tell us where you are in the process.Have you filed? Hired staff? Taken other steps toward running?
*
Have you run before? *
Required
Why are you running? *
Tell us- in a few words- something about your life: profession, vocation, family responsibilities, etc. *
Confidentiality is an essential element of the Circle. Please confirm that you will hold all conversations within the Circle in complete confidence. *

WILDR participants support and work to uphold: racial and gender equity, reproductive justice, lifespan education funding, voter access, housing justice, and equitable and shared economy for all. Do you commit to uphold these values?

*
Required
The Circle will meet monthly for 2-3 hours each month. Attendance is essential, can you agree to make that kind of commitment, baring emergencies or unavoidable conflict? *
What are you most hoping for from participating in the circles? Please identify one or two top questions or needs you hope to address. *
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report