Application for the September 2008 training in Portland

Fields marked with * are required.

• First Name: *
• Last Name: *

• E-mail Address: *

• Street Address: *
• City: *
• State: *
• Zip: *

• Home Phone: *
• Cell/Work Phone:

List all high schools, colleges and universities attended with degree (if applicable) as well as dates of attendance. *


Describe your political experience, if any. List any volunteer, professional, and community activities/organizations withwhich you are or have been actively involved. *

Please list two people who through personal experience can judge your commitment to civic engagement/activism. *

• Name:
• Relationship:
• Phone:

• Name:
• Relationship:
• Phone:

What do you hope to take away from this training program? *


Tell us about something in your life that guided you towards your desire for activism? *

VOLUNTEER REQUIREMENT. Rising Tide requires each graduate to volunteer on the campaign, for the candidate, or for the social change organization of your choice after program completion. Are you willing to commit 40 hours of your time, after the training, to help strengthen your community through civic involvement?
* Yes, I agree to the volunteer requirement above.

Having problems? Contact Corey at corey@arisingtidemaine.com