Wisconsin Women's Network Policy Institute Application
Applications and recommendations must be submitted by noon on Friday, August 23, 2019. You will be contacted by Friday, August 30 to schedule a phone interview. Participants who have been accepted into the Institute will then be notified of their selection by Friday, September 27.

Please do not hesitate to ask questions prior to submitting your application. You may email Lead Instructor Jenifer Cole at jeniferdcole@gmail.com or call her at (608) 630-7606. You may also email the Wisconsin Women’s Network at info@wiwomensnetwork.org.

Name: *
Your answer
Home Address: *
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City, State: *
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Zip Code: *
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County: *
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Preferred Email Address: *
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Preferred Phone Number: *
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Your Employer/Organization: *
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Your Title: *
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Employer Website: *
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Work Address: *
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Work City, State: *
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Work Zip: *
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Organizational Affiliation
(Please provide details of the organization or group you will represent at the Institute if it is not your above employer)
Organization/Community Group: *
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Title (e.g., volunteer, Board member, etc.): *
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Organization Website: *
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Address: *
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City, State: *
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County: *
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Zip: *
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Identification and Content Knowledge Form
How would you primarily identify yourself? *
Required
How would you describe yourself?
(completing this information is optional):
Race/ethnicity:
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Sexual orientation:
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Gender identity:
Your answer
Preferred pronouns:
Your answer
Physical or other disability:
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Age:
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Identify issues areas in which you have the deepest content knowledge (check all that apply): *
Required
How did you hear about the Policy Institute?
Your answer
Short Responses
Please type short answers (i.e. 150 words or less per answer) to the following questions.
Describe your personal experience (if any) advocating for issues on behalf of your community or your organization, including advocating with local, state, or federal policy makers. *
Your answer
Describe an experience you have had working as part of a team to accomplish a project or goal. *
Your answer
What are you most interested in learning if you are accepted into the Institute? *
Your answer
Will your organization or employer be able to support the time requirement for your participation in this program? *
Your answer
Thank you!
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