EmailMe Form - ORIGINAL 2019-20 CNPAAEMI LDI

EmailMeForm

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IMPORTANT APPLICANT INFORMATION - PLEASE READ
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If selected as a 2019 LDI Fellow, you will be REQUIRED TO ATTEND our training event as well ALL scheduled cohort meetings. In-Person Training dates and location TBD prior to 2018 year end. Actual meeting will take place in March or April 2019.
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A. CONTACT INFORMATION
Name *
First Last
Email *
Phone
### - ### - ####
Text/SMS
### - ### - ####
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Your current position or title
Your primary ethnic and/or racial identity
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B. GOALS FOR LDI
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In the text boxes below, please share your thoughts with us about your reasons for applying to the CNPAAEMI Leadership Development Institute
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Organizational Association for LDI Application (Division or National Ethnic Minority Assoc)
LEADERSHIP EXPERIENCE: Tell us about your leadership experience and service within the organization.
LEADERSHIP GOALS AND ASPIRATIONS: What are your expectations and goals for how the LDI can enhance your leadership development in the upcoming year and in terms of your long-range leadership goals.
CROSS-CULTURAL EXPERIENCE: How does cross-cultural leadership training build upon your past experiences and advance your leadership development.
Please attach your current CV in Word (.doc or .docx) or PDF.
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C. PERSONAL RECOMMENDATION
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Please provide us with a professional reference who can offer insights into your leadership abilities and at least one letter of recommendation.
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Recommender’s Name *
First Last
Relationship *
Phone *
### - ### - ####
Email *
Please attach your letter/s of reccomendation here.

Add File

Only PDF, DOC, DOCX attachments can be accepted.
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D. PERSONAL INFORMATION
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Please take a little time and help us get to know a bit about you, your work and your interests.
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EMPLOYMENT: List your current employer, job title, and provide a brief description of your professional responsibilities as they pertain to leadership.
COMMUNITY SERVICE WORK: List the type of work, your role in community service and how that realtes to leadership development.
EXTRACURRICULAR ACTIVITIES: List the organizations, positions, and descriptions of some of the activities in which you are involved.
***************************************************
IMPORTANT APPLICANT INFORMATION - PLEASE READ
***************************************************
If selected as a 2019 LDI Fellow, you will be REQUIRED TO ATTEND our training event as well ALL scheduled cohort meetings. In-Person Training dates and location TBD prior to 2018 year end. Actual meeting will take place in March or April 2019.
_______________________________________________________

*************************************************** IMPORTANT APPLICANT INFORMATION - PLEASE READ ***************************************************

A. CONTACT INFORMATION

*************************************************** B. GOALS FOR LDI ***************************************************

*************************************************** C. PERSONAL RECOMMENDATION ***************************************************

*************************************************** D. PERSONAL INFORMATION ***************************************************

*************************************************** IMPORTANT APPLICANT INFORMATION - PLEASE READ ***************************************************

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IMPORTANT APPLICANT INFORMATION - PLEASE READ
*

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B. GOALS FOR LDI
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C. PERSONAL RECOMMENDATION
*

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D. PERSONAL INFORMATION
*

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IMPORTANT APPLICANT INFORMATION - PLEASE READ
*