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PTP's Program: Training: TechCamp : - TechCamp APPLICATION


Information Technology Essentials for Community Organizers

Tech Camp will take place from Noon June 12 - Noon June 15, 2007. It will be held at Macalester College in St. Paul, Minnesota. If you want to go to TechCamp in California instead, click here.

COST (including computer lab time, room and board)
* $220 per person for double occupancy room in a dorm
* $250 per person for single occupancy room in a dorm
* $135 for meals and computer lab only

NOTE: PTP does not charge tuition for this course. We only charge the direct costs of the venue.

First Name: (required)
Last Name: (required)
Title:
Organization: (required)
Email: (required)
Phone: (required)
Cell Phone:
Fax:
Street Address: (required)
City, State, Zip: Zip:
Country:
Web Site:
Date started at current organization (approximate): (desired)
Years as an Organizer: (desired)
Please tell us about your training needs: (desired)
Lodging Preference:

I would like to: (required)
   Desired Roommate:
   Specify your roommate request in the text box above.

Cost for Double Occupancy: $220 per person
Cost for Single Occupancy: $250 per person
Cost for Day Tuition with meals only: $135 per person
Price includes meals and computer lab.

There are a limited number of full scholarships available. To apply for one, please use this box to tell us why you need one.
Emergency Contact Information:
CORN Check this if you are interested in receiving our community organizing and technology resources e-newsletter (CORN)
What type of organization do you work for? :
Who makes up your organization?
Who leads your organization?
Total Number of Staff: Part Time Staff: Staff Organizers:
Number of Active Members:

What issues does your organization organize around?
Select all that apply.


For multiple selections, hold CTRL (windows) or apple (mac) key while selecting. Be sure to click your mouse to make a selection.
Which groups does your organization organize?
Select all that apply.:
For multiple selections, hold CTRL (windows) or apple (mac) key while selecting. Be sure to click your mouse to make a selection.
In what states does your organization work?
Select all that apply.::
For multiple selections, hold CTRL (windows) or apple (mac) key while selecting. Be sure to click your mouse to make a selection.
What organizing tactics does your organization employ?:
For multiple selections, hold CTRL (windows) or apple (mac) key while selecting. Be sure to click your mouse to make a selection.



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