Regina V. Polk Women's Labor Leadership Conference Application

Regina V. Polk Women's Labor Leadership Conference Application

Note: Online applications to The Polk School will be accepted until March 31, 2017.  You will be notified by April 7, 2017 if you were accepted into the program via email unless otherwise specified in Question 7.

Note: Online applications to The Polk School will be accepted until March 31, 2017.  You will be notified by April 7, 2017 if you were accepted into the program via email unless otherwise specified in Question 7.

 

 

 

answer must be phone number with area code like 217-333-1000

 

answer must be an email address

 

required7. What is the best way to reach you?

required7. What is the best way to reach you?

 

Please answer N/A if you are not affiliated with a Union

Please answer N/A if you are not affiliated with a Union

 

Please answer N/A if you are not affiliated with a union

Please answer N/A if you are not affiliated with a union

 

required11. Is this an elected position?

required11. Is this an elected position?

required12. Do you want to opt-out of our contact list to receive information about future events, course and program offerings? You can always opt-out of our contact list in the future by contacting our program and requesting to be removed from it.

required12. Do you want to opt-out of our contact list to receive information about future events, course and program offerings? You can always opt-out of our contact list in the future by contacting our program and requesting to be removed from it.

required13. Do you have any dietary restrictions or require accessibility accommodations?

required13. Do you have any dietary restrictions or require accessibility accommodations?