PPF 2018 Leadership Institute Registration
The 2018 Put People First! PA Leadership Institute will include:

-An introduction to Put People First! PA, our strategy and theory of change
-Training in nonviolent direct action in preparation a season of moral resistance with the Poor People's Campaign: National Call for Moral Revival
-A how-to guide for researching power-holders, including politicians and corporations in your community
-Preparation for maintaining our dignity and safety when dealing with people in power

The Leadership Institute is free. Childcare and food are provided. Please indicate if you need support with transportation. Please fill out the registration form below.

Space is limited to 50 participants. Deadline to register is April 21st for Philadelphia and Pittsburgh and April 28th for Lancaster. Preference will be given to people who are on, who need, or who are unfairly excluded from Medicaid/welfare insurance.

Philadelphia/Southeast PA on Saturday May 5th
Location: Children's Community School, 1212 S. 47th St., Philadelphia PA 19143
Time: 9:30 am - 4:30 pm

Pittsburgh/Southwest PA on Saturday April 28;
Location: Warrington Rec Center, 329 E. Warrington Ave., Pittsburgh, PA 15210
Time: 9:30 am - 4:30 pm

Lancaster/South Central PA on Saturday May 5th
Location: Crispus Attucks Community Center, 407 Howard Ave., Lancaster PA 17602
Time: 9:30 am - 4:30 pm

You are welcome to attend the Leadership Institute no matter where you live in Pennsylvania.

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Address and zip code *
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How did you find out about the leadership institute? *
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Do you receive Medicaid/welfare insurance *or* have you been unfairly excluded from it for any of the following reasons: immigration status; issues with applying for or renewing coverage; income is higher than the income limit but you still struggle to afford private insurance? *
What makes you want to attend the Leadership Institute? *
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Are you bringing young people? Please include their names and ages.
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Emergency Contact: Name and Number *
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Which Leadership Institute will you be attending? *
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Do you have any accessibility needs related to mobility, sight, hearing or anything else we should know about? All facilities will be wheelchair accessible and we will do our best to accommodate other needs
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Do you need language interpretation? We can provide English to Spanish, and English to ASL interpretation. We may be able to provide interpretation for other languages.
Do you have any dietary requirements or restrictions?
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Can you make a contribution to help cover the costs of the Leadership Institute *
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Do you need support with transportation? Or can you offer a ride?
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