Stock_WEB-33.jpg

Answering the Call: Pre session form

Dear ATC Participant,

Congratulations! Thank you so much for participating in Answering the Call! We are excited to take this first step in your journey with you. This survey will provide us with some additional information before the program begins. It should take no more than three minutes to complete.

Please enter your cell phone number in the box below in the format xxxxxxxxxx (no dashes). We use your cell phone number to unify your survey responses in our backend. Note that your responses to our surveys will only be shared with the facilitator in aggregate and without attribution unless we obtain your consent first.

Name *
Name
Age *
Gender *
Race, Ethnicity or Origin *
At this moment, on a scale from 1-10, how likely are you to:
Please complete the following questions: *
Please complete the following questions:
I feel compelled to participate in this program
I am clear about my own leadership mission
I am clear about my shadow mission
I understand what I would need to do to get involved in politics from where I am now
I believe that getting into politics is a realistic and achievable path for me