The White House Project

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"You may be disappointed if you fail, but you are doomed if you don't try."
- Beverly Sills

Pick up your Closing the Leadership Gap book and Ms. President T-Shirts while they're in stock!

First Name		Last Name
Street Address
City		State
ZIP Code
Age		Primary Phone
Email Address
Candidate Website (if applicable)

How do you identify? African American / Black Asian American Caucasian / White Native American / American Indian South East Asian / Indian Pacific Islander / Native Hawaiian Latina / Hispanic Other (Please specify)

How would you describe your political affiliation? Democrat Republican Independent Green Working Families Party Socialist I do not identify with any party None N/A Other (Please specify)

How did you hear about Debate Boot Camp?

Are you currently running for office? If so, what race?

If you are running for office: I am an incumbent. I am a challenger. It is an open seat race.

If you are not running currently, do you plan to run in the future? If so, when?

What do you want to get out of Debate Boot Camp?

$150 non-refundable registration fee. Scholarship available. I will pay on-line now. Payment on the next page via PayPal. You do not need a PayPal account to pay by credit card. I will send a check no later than August 24th to The White House Project - 2402 University Avenue West, Ste. 600 - St. Paul, MN 55114 I am requesting a scholarship (If you check this box, we will contact you at the phone number you have listed above)