WCVI - Latino Academy

Latino Academy

WCVI training school for candidates,
elected officials and campaign managers/workers

Applying does not guarantee admittance. No more than 30 applicants will be accepted per session. Students are responsible for travel costs to and from the site of the Latino Academy. The Latino Academy will cover tuition, room, and two meals per day. Fill out this form and return it TODAY. The application deadline for the Dallas, Texas session is February 18, 2005.

Applicant		Sponsor (Who Nominated You?)
Name: _________________________________ Address: _______________________________ City/State/Zip: ___________________________ Phone: ________________ Fax: ____________ E-mail: ________________________________ Occupational Title: _______________________ Employer: _____________________________ Income: $_______________(approximate) Organizational Affiliation: _________________		Name: _________________________________ Address: _______________________________ City/State/Zip: ___________________________ Phone: ________________ Fax: ____________ Organizational Affiliation: __________________

		Include:
		(Incomplete submissions will not be processed)
		[ ] Information on educational background 3 references, employment history, community involvement, electoral and other political experiences [ ] A brief narrative of 200 words or less describing why you want to attend the Latino Academy [ ] Resume (optional) [ ] A $35 non-refundable application fee is required from all applicants seeking admission. Make Checks payable to: WCVI Return to: WCVI Latino Academy 206 Lombard Dr. , 1st Fl., San Antonio , TX 78226

Ancestry:
[ ] Mexican-American/ Mexican/Chicano [ ] Salvadoran/Central American [ ] Cuban-American [ ] Puerto Rican/ Nuyorican/ Boricua [ ] Dominican [ ] Other: ________________

I am applying for:
Latino Academy Candidate Training 2005 Sessions [ ] Session 1: March 19-20, Dallas, TX [ ] Session 2: April 29-May 1, Las Vegas, NV [ ] Session 3: June 24-26, Miami, FL [ ] Session 4: July 15-16 Los Angeles, CA [ ] Session 5: September 3-4, Las Cruces, NM		[ ] The Latino Academy is a training school for the future. Enclosed is a tax-deductible donation of $ ___________for the betterment of our community.

[ ] I am Candidate for (position): ________________________ Election Date: ________ [ ] I am a Campaign Manager for (candidate): ______________ Election Date: ________
Type of Election:	[ ] Primary	[ ] General

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Make Checks payable to: WCVI Return to: WCVI Latino Academy 206 Lombard Dr. , 1st Fl., San Antonio , TX 78226

Make Checks payable to: WCVI
Return to: WCVI Latino Academy
206 Lombard Dr. , 1st Fl.,
San Antonio , TX 78226