EmailMe Form - 2020-21 CNPAAEMI LDI

CNPAAEMI Leadership Development Institute Application

EmailMeForm

A. CONTACT INFORMATION
Name *
First Last
Email *
Phone
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Text/SMS
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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. LETTER OF RECOMMENDATION
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Please provide us with a professional reference who can offer insights into your leadership abilities and attach at least one letter of recommendation. The reference and the recommendation can be from the same individual or may be from 2 different professionals.
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Recommender’s Name *
First Last
Relationship *
Phone *
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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.
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IMPORTANT APPLICANT INFORMATION - PLEASE READ
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If selected as a 2020 LDI Fellow, you will be REQUIRED TO ATTEND ALL scheduled cohort meetings in addition to the initial kick-off retreat in San Jose, CA.
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Thank you! We value your interest and participation.

A. CONTACT INFORMATION

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

*************************************************** C. LETTER OF RECOMMENDATION ***************************************************

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

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

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B. GOALS FOR LDI
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C. LETTER OF RECOMMENDATION
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D. PERSONAL INFORMATION
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IMPORTANT APPLICANT INFORMATION - PLEASE READ
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