7 . Have you ever served in a paid capacity on or for a political campaign ? Please describe your role and list the campaign ( s ) or organization .
8 . Have you served in the military ? If yes , please list the military branch , years of service , rank and discharge status :
9 . Have you ever been convicted , pled nolo contendere ( no contest ), been placed on probation , fined , entered a pre-trial intervention program or had adjudication withheld by any judicial or quasi-judicial body for any felony or misdemeanor other than minor traffic violations ?
10 . If invited to participate in the program , do you understand that full attendance at the entire Leaders School is mandatory for acceptance into the program ?
__ Yes ___ No
11 . What is your registered political affiliation ?
___ Democrat ___ Republican ___ no party affiliation ___ other ( please identify ) ___ Not registered to vote
12 . In what year did you register to vote at your current residence ?
In what year did you first register to vote ?
13 . Has your employer agreed to give you time off work to attend the PLI sessions should you be chosen to participate ?
____ Yes ____ No ____ My employer has questions . Would a PLI director please contact me .
14 . Is there other information that you would like to share with the selection committee , particularly as it demonstrates your commitment to public service , community involvement and leadership ?
15 . Please provide the names , including title and place of employment , and contact information , ( email and telephone number ) for at least three ( 3 ) personal or professional references .
DEADLINE : Friday , March 16 , 2018