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