time to apply

Applications are being accepted for the 2019 program.

Deadline to submit extended: January 18, 2019

Name *
Name
Phone *
Phone
If retired, please describe your career experience.
Home Address *
Home Address
Having your address on file helps us identify what races you can run for in the region.
Where did you go to school and what did you study?
What issue areas are you most passionate about? *

Note -- submitting this application will not guarantee your enrollment in the program. Space is limited and if you are accepted, you will be required to attend an interview on a date TBD.