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Apply for MPLP

First Name :

Last Name :

Email :

Address :

City :

County :

Zip :

Phone :

Ethnicity :

Employer :

Employer Phone :

Position :

Political Party :

Do you hold political office?

If yes, which office :

(MPLP does not accept applications from those who are running for office during their Fellowship year)

Do you aspire to run for office?

If yes, which office :

Are you at least 21 years of age?

Are you a registered Michigan Voter?

MPLP Class Applying For :

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