2019 Community Leadership Academy Registration
Thank you for your interest in Community Leadership Academy (CLA). Community Leadership Academy is a program designed to strengthen leadership skills and prepare people with disabilities to serve on boards, committees and commissions. If you are interested in participating, please complete the application below. We look forward to reviewing your application and hope you will join us in making North Dakota a better place to live , work and play for people with disabilities.

Fall 2019 Session Details
**Sessions will be held from 2-4pm in the Minot Public Library South Room**
Session #1- Thursday, August 1, 2019 Session #2- Thursday, August 15, 2019
Session #3- Thursday, August 29, 2019 Session #4- Thursday, September 12, 2019

Participants will be required to attend (2) one-on-one sessions with CLA facilitators to discuss curriculum, explore leadership opportunities and develop or refine board applications throughout the duration of the program.

If you have any questions or need assistance completing the CLA registration form, please contact Independence, Inc.

2000 East Burdick Expy. Suite C Minot, ND 58701 | Phone: 701-839-9026
Toll Free 1-800-377-5114 V/TDD | Email: taylorh@independencecil.org

Name *
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Email *
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Phone Number *
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Mailing Address *
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Why are you interested in joining Community Leadership Academy? *
Your answer
Do you have prior experience serving on boards, committees, or commissions? *
What are some missions or causes you are passionate about? *
Your answer
Do you have a disability? *
Will you need any accommodations to fully participate in CLA? If so, please indicate below. *
Your answer
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