ADL's Glass Leadership Institute Application
ADL's Glass Leadership Institute (GLI) is a national program founded in 2000 to energize a new generation of leaders committed to ADL's mission. ADL's Pacific Northwest Office offers this program in Seattle for young leaders of all backgrounds in their mid 20's through their early 40's.

We thank you in advance for your interest and applications! Please complete this application by Friday, September 14, 2018. Questions? Please contact Rebecca Schaechter, ADL's Development Director, at rschaechter@adl.org or 206-582-0288.

Email address *
I. Personal Information
Name *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
Home Phone
Your answer
Cell Phone *
Your answer
Date of Birth *
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II. Employment
Employer *
Your answer
Position/Title *
Your answer
Address *
Your answer
City *
Your answer
State *
Your answer
ZIP *
Your answer
III. Education
Undergraduate College/University
Your answer
Major
Your answer
Class of
Your answer
Post-Graduate College/University
Your answer
Degree/s
Your answer
Class of
Your answer
IV. Community and Leadership Activities
Civic, political, cultural
Please tell us about your involvement in civic, political, or cultural activities in the community. *
Your answer
Please tell us about any special interests, hobbies, or skill-sets you have. *
Your answer
V. Social Concerns
Describe a social issue of concern to you. How would participating in ADL's GLI program help you address this? *
Your answer
VI. Interest in GLI
Please tell us why you are interested in GLI and what you hope to gain from the experience.
Your answer
VII. Biography
Please tell us about yourself, where you grew up, what brought you to Seattle, your career path, and anything you would like us to know. *
Your answer
Dietary Restrictions?
Your answer
I understand the expectations of the Glass Leadership Institute and would like to be considered for the 2018-2019 program.
Name *
Your answer
Date *
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