Toggle navigation
Donate
About
Our Team
Resources
Jobs
Submit a Job
Programs
VAPLP
About VAPLP
Mission and Goals
Program Details
Alumni
Our Impact
Testimonials
Newsletter Archive
Network
Become a Mentor
Redistricting
Roundtables
Executive Women of Color Roundtable
Staff of Color Roundtable
Voter Information
Voting in Virginia
Election Day 2021
Important Dates and Deadlines
Rights Restoration
Additional Resources
Contact
About
Our Team
Resources
Jobs
Submit a Job
Programs
VAPLP
About VAPLP
Mission and Goals
Program Details
Alumni
Our Impact
Testimonials
Newsletter Archive
Network
Become a Mentor
Redistricting
Roundtables
Executive Women of Color Roundtable
Staff of Color Roundtable
Voter Information
Voting in Virginia
Election Day 2021
Important Dates and Deadlines
Rights Restoration
Additional Resources
Contact
Donate
×
GET OUR NEWSLETTER
First Name
*
Last Name
*
Email
*
CAPTCHA
VAPLP Mentor Confirmation
Name
(Required)
First
Last
Dietary Needs
Access Needs
COVID Vaccine Card
(Required)
Please make sure your name and vaccinations are viewable and up to date.
Max. file size: 50 MB.
Vehicle Information
This will be used to obtain a parking pass for Weekend 2.
Make
Model
Year
Color
License Plate Number
Travel + Compensation Stipends
Please read through the travel stipend policy below. Every mentor will be compensated $300 for their time & support. The following fields in this section inform what we need to distribute funds your way if you decide to opt in to any or both.
Opt In/Out
(Required)
Opt In: Travel Stipend + Compensation Stipend
Opt In for Travel Stipend / Opt Out for Compensation Stipend
Opt In for Compensation Stipend / Opt Out for Travel Stipend
Opt out for both: I would like to opt out of the travel + compensation stipends. I confirm that I will be paying for the cost of travel fully on my own.
Bank Name
Routing Number
Account Number
Please fill out this W-9
Please attach a voided check.
Max. file size: 50 MB.
If you don't have a voided check, no worries.
Please sign the waivers + releases here