Name: Basebuilding One-Day Training
Start: 2025-04-09T13:00:00-04:00
End: 2025-04-09T17:00:00-04:00

Name *

First

Last

Email *

Mobile Number *

Your Organization *

Please note that we have a cap of 4 people per organization per session!

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Do you require or would you like to request any accommodations? (Interpretation, more breaks, etc.?)

About Your Organization: Please provide a short description of your organization, including its purpose, issues it works on, and the degree to which organizing is a part of it. *

Your Position: Please list your position and briefly describe your role and its relationship to organizing. *

Reason for Attending: Briefly explain why you are applying now for the training, your level of experience as an organizer, and as concretely as possible what you hope to get from the training. *

Primary Issue: What is the primary issue you are currently working on? *

Is there anything else we should know?

May we share your information with fellow participants? *

Yes, I consent
No, I do not consent

We would like to share your first name, organization, role, current issue, & state with your fellow participants a few days PRIOR to the training, to give people a chance to get to know who else will be in the training with them. You have the right to opt out of this! We will NOT share your information in any other way.

Organizational Budget *

Budgets up to $125k – you will be charged $85
Budgets of $125k – $250k – you will be charged $115
Budgets of $250k – $500k -you will be charged $150
Budgets of $500k – $1m – you will be charged $200
Budgets greater than $1m – you will be charged $250

In an attempt to make this training available to as many people as possible, we are using a sliding scale for pricing. Select your organizational budget and we’ll invoice you accordingly! *

OPTIONAL: How do you publicly self-identify?

Female
Male
Nonbinary/Genderqueer/Gender non-conforming
Decline to State

OPTIONAL: How do you publicly self-identify?

I identify as a person with a disability
I do not identify as a person with a disability
Decline to State

Basebuilding One-Day Training

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