Michigan Go Run 2009 Application
1. Please indicate the Go Run Training that you will be attending.
Michigan Go Run
- July 10 - 12
General Information
Training Questions
15. Go Run is aimed at increasing the number of women in the political pipeline. When do you see yourself running for office?
Within the year
Within 5 years
Within 10 years
Sometime in my lifetime
Never
16. What motivated you to participate in this Go Run training (please answer in a few short sentences)?
17. What specific skills do you want to build upon and improve at Go Run?
Please check all that apply.
18. In which of the following election cycles do you see yourself declaring your candidacy?
Within the next 2 years
Within 5 years
Within 10 years
Sometime in my lifetime
Never
19. The political pipeline needs your energy and your talent. What most significantly increases your chances of running? Please check all that apply.
20. Why would you consider running for office (please check all that apply)?
21. When thinking about public office, where do you see yourself?
In local politics.
Which office?
In local politics moving towards statewide politics.
Which office?
In statewide politics.
Which office?
In statewide politics moving towards national politics.
Which office?
In national politics.
Which office?
In local politics, then statewide moving towards national politics.
Which office?
Don't know yet.
22. Please provide short answers for the following questions:
What do you think you can bring/add to the new women’s political movement?
What do you see in the future for women’s political leadership?
How will attending this training benefit your goals?
How will attending this training affect your ability to change/create public policy?
23. How involved have you been in the following volunteer organizations/groups (leadership role, involved regularly, involved sporadically, not at all involved)?
Political Parties
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Labor Unions
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Business Groups
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Parent-Teach/Education Organizations
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Civil or Human Rights/Justice/Peace Organizations
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Faith-Based Organizations
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Community/Neighborhood Organizations
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Issue/Policy Groups
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Women’s Organizations
Leadership Role
Involved Regularly
Involved Sporadically
Not At All Involved
Other, Please Specify
24. Which of the following forms of political activism have you engaged in during the last year?
25. We live in a country where there has never been a woman president or vice president. Yet, a majority of Americans would vote for one. Do you expect a woman to be President within the next ten years?
Yes
No
I
Don't know
26. How concerned are you about balancing family life, public life and professional life?
Very concerned
Somewhat concerned
Neutral
Not at all concerned
27. Do you have experience working with and utilizing the media?
Yes, a great deal
Yes, somewhat
Neutral
No, none
N/A
28. Are you comfortable with public speaking?
Yes, very comfortable
Yes, somewhat
comfortable
Neutral
No, not comfortable
N/A
29. Do you have experience with fundraising?
Yes, a great deal
Yes, somewhat
Neutral
No, none
N/A
30. Are you comfortable with fundraising?
Yes, very comfortable
Yes, somewhat
comfortable
Neutral
No, not comfortable
N/A
31. Do you have experience working on campaigns (i.e. voter registration, Get Out The Vote, door knocking, phone banking etc.)?
Yes, a great deal
Yes, some
Neutral
No, none
N/A
32. Are you comfortable working on campaigns?
Yes, very comfortable
Yes, somewhat
comfortable
Neutral
No, not comfortable
N/A
33. How likely are you to run for office?
Very Likely
Somewhat Likely
Likely
Not Likely
Unsure
Demographics
To better serve the needs of all women, please tell us about your background. Again, this information is confidential and only used for training and planning purposes. Questions are in random order.
34. How would you describe your political affiliation?
Democrat
Republican
Independent
Green
Working Families Party
Socialist
I do not identify with any party
None
N/A
Other (Please specify)
35. How do you identify?
African American / Black
Arab American
Asian American
Caucasian
/ White
Native American / American Indian
South East Asian
/ Indian
Pacific Islander
/ Native Hawaiian
Latina / Hispanic
Other (Please specify)
36. How would you characterize your income?
Less than $30,000
$30,000 - $50,000
$50,000 - $75,000
$75,000 - $100,000
More than $100,000
37. How do you identify?
Heterosexual
Gay
Lesbian
Bisexual
Transgender
Queer/Questioning
Other
(Please specify)
38. What best describes your level of education?
Some High School
High School Diploma or GED
Some College
College Graduate
Some Graduate School
Advanced Degree
39. Do you have school aged children?
Yes
No
40. Are you married or partnered?
Yes
No
41. How supportive is your partner of your political ambitions?
Very Supportive
Supportive
Neutral - Unsure
Unsupportive
N/A
Logistics
42. Is English your first language?
Yes
No
(Please specify)
43. Are you willing to carpool to Go Run with other women from your area?
Yes
No
Maybe, depending on the distance
44. I am not able to attend the training unless I have a ride.
Yes
No
45. Can you commit to attending and being on time for all the sessions at Go Run?
Yes
No, please specify what you will miss and why
46. How did you hear about the Go Run Training?
47. Do you have any special needs The White House Project should be aware of, including disabilities, handicap accessibility or other arrangements in which we can better accommodate you?
Registration
Information on scholarships for the training and associated fees is below
48. We strive to make the Go Run training accessible to women from a wide range of income levels. The registration fee includes all meals and reception, all training materials and activities.
I can pay the full registration cost of $150
I will need a full or partial scholarship to participate. I would like to pay
My employer, school, organization, union, or tribe will help me cover the costs of participation. Please give me a call.
The average cost per participant for a Go Run training is well over $500. The White House Project raises fund through foundation, individuals, corporations and other sponsors. Please let us know if you or your group would like to help send other women to Go Run or contribute to the Go Run Scholarship fund.
Yes, please contact me about sponsoring another woman
49. Housing at Go Run is not provided by The White House Project. WHP has secured a discounted room rate at a local establishment and accepted applications will be required to arrange and pay for their own accommodations. Please let us know if you need housing at Go Run, and our volunteer coordinator will contact you with the discounted hotel information.
Yes, I need housing for Friday and Saturday
Yes, I need housing for Friday night only
Yes, I need housing for Saturday night only
No, I do not need housing at Go Run
Required Resume
50. If you have a resume, please upload it here.
If you do not have a resume please upload your bio or a Word document with the details of your educational and professional experience.
51. There are limited funds for travel and childcare stipends.
Total stipend amount requested
Before submitting your application please double check Question 50 to make sure you have uploaded your resume.