JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
UTLA ELI FELLOW APPLICATION
Become an Early Leadership Institute Fellow with UTLA/NEA by completing the application below. An ELI Coach will reach out shortly!
Apply by Nov 25th!
DATES: DEC 22-JUNE 23 Key Dates: ELI KICKOFF - Dec 9th (5pm), Dec 10th (all day)
$250 Stipend available upon completion of 6 month fellowship
Sign in to Google
to save your progress.
Learn more
* Indicates required question
FULL NAME:
*
Your answer
NON-LAUSD EMAIL
*
Your answer
PHONE NUMBER
*
Your answer
SCHOOL SITE:
*
Your answer
UTLA AREA
*
Your answer
I commit to attending monthly meetings with an ELI Coach and to complete additional work as assigned to further promote educator support and retention.
*
YES
NO
I commit to attending our ELI Kickoff at the UTLA building on Dec 9th (5pm) and Dec 10th (all day) for training purposes. *required
*
Yes, I will attend.
No, I cannot attend.
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. -
Terms of Service
-
Privacy Policy
Does this form look suspicious?
Report
Forms
Help and feedback
Contact form owner
Help Forms improve
Report
