Progressive Technology Project Logo Strengthening COMMUNITY ORGANIZING with EFFECTIVE TECHNOLOGY  Progressive Technology Project

home - about - search- support PTP
program - training - resources


PTP's Program: Training: Application

Complete this form and we will send a confirmation email and invoice to the email address you provide.

First Name: (required)
Last Name: (required)
Title:
Organization: (required)
Email: (required)
Phone: (required)
Cell Phone:
Fax:
Street Address: (required)
City, State, Zip: Zip:
Country:
Please tell us about your training needs: (desired)
Course Selection

(required)
You are welcome to attend more than one course, but for the sake of clarity, we ask that you fill out one form for each course. After you complete this page and press Submit, you can hit your browser's back button to come back to this page and change to a different course. The rest of your entries will still be displayed.

There are a limited number of full scholarships available. To apply for one, please use this box to tell us why you need one.
Click here for an explanation of our scholarship opportunities
Date started at current organization (approximate): (desired)
Years as an Organizer: (desired)
Emergency Contact Information:
CORN Check this if you are interested in receiving our community organizing and technology resources e-newsletter (CORN)
Web Site:
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.



home   about   program   training   resources   support PTP
Progressive Technology Project 2801 21st Avenue South, Suite 132E Minneapolis, MN 55407
(612) 724-2600 Toll Free: 1-866-298-6463
INFO @PROGRESSIVETECH.ORG
Creative Commons Logo
This website is licensed under a
Creative Commons Attribution-NonCommercial-ShareAlike license