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DEMOCRACY SCHOOL
REGISTRATION FORM 
2‐Full Days Leadership Development and Organizing Training 
March 25th (12 – 5pm) &  March 26th (9am – 5pm) 
To be held at: SEIU 1199 
150 Mt. Vernon Street, 2nd floor 
Dorchester, MA, 02125 
 
This training is designed for organizers, community leaders, and advocates. You will receive a registration approval 
and confirmation by e‐mail by March 9, 2011. 
There is a $25 donation‐fee per person (this includes training material and meal). But, scholarship is available. 
 

Please register me/us for the 2‐Day Democracy School Training:  
 

ORGANIZATION:    ___________________________________________________________________________                               
 
NAME #1____________________________________  NAME #2 ____________________________________ 
 
ADDRESS: __________________________________________________________________________________                              
 
CITY/ STATE/ ZIP:   ___________________________________________________/ ________/ ______________                             
 
TELEPHONE:   ________________________________    FAX: _________________________________________                             
   
EMAIL:   ___________________________________________________________________________________ 
  
AMOUNT ENCLOSED:   $___________  Or pay online at  http://democracyschool.eventbrite.com 
 
PLEASE TELL US ABOUT YOUR WORK:   
 
#1 ‐ I AM   ___ AN ORGANIZER     ___ A COMMUNITY LEADER   ___OTHER (describe) ___________________ ______                      
YEARS of Working Experience on Immigration Field:   0‐1____    1‐3____    3 or more _____     
Examples of Campaigns that I have worked (Non‐partisan, issue‐based, etc: 
_______________________________________________________________________________________________ 
 
#2 ‐ ‐ I AM   ___ AN ORGANIZER     ___ A COMMUNITY LEADER   ___OTHER (describe) ___________________ ___ __                     
YEARS of Working Experience on Immigration Field:   0‐1____    1‐3____    3 or more _____     
Examples of Campaigns that I have worked (Non‐partisan, issue‐based, etc): 
_______________________________________________________________________________________________
_______________________________________________________________________________________________ 
 
(    )  Scholarship: Please explain briefly why you need the scholarship_______________________________________ 
_______________________________________________________________________________________________ 
 
Please Mail to : MIRA Coalition, 2‐Day Democracy School Training ‐ Att. Marcony Almeida,  105 Chauncy Street – 9th , Floor 
  Boston, MA 02111
Join us to Organize and Advocate!
 
 
 

&

Democracy School 2011


2 - Intensive Days Training

Building Power Through Mobilization!


TRAINING Overview: Strategic campaign planning and
power mapping
Message development and delivery
Intentional relationship-building and understanding peoples’ stories
Moving people to action: effective volunteer mobilization and management
Building effective and inclusive coalitions
Grassroots lobbying and advocacy

Friday March 25 (12-5pm) & Saturday March 26 (9am –5pm)


At SEIU 1199, Boston, MA
Space is limited
Register TODAY! For additional information, contact Marcony Almeida at
malmeida@miracoalition.org or 617-350-5480, ext. 205