2018 Collaborative Leadership Fellows (CLF) Application
Email address *
Name *
Address *
Phone Number - Work *
Phone Number - Alternate *
Email - Work *
Email - Alternate *
Organization/Employer *
Supervisor Name *
Supervisor Email *
Responsibility for $1,200 Participation Fee *
How did you learn about the Collaborative Leadership Fellows Program? *
Which of the following areas best fits your professional experience? (please check up to two) *
Voluntary information to ensure cohort diversity and inclusion - Age
Voluntary information to ensure diversity and inclusion - Gender Identification
Which ethnic group do you most closely identify with?
What are the qualities you believe you possess that enhance your potential leadership capacity? *
What do you expect to gain from the experience as a participant of the CLF Program and what ideas do you have for application? *
What do you anticipate the benefits to be for you personally, to your organization, and your community? *
Why do you believe this is a good time for you to make the time and effort commitment to this Fellowship? *
Briefly describe your experience working in diverse environments or with diverse clientele. *
What non-profit organizations/agencies have you, or are you, involved with in the Rochester community? *
Please upload your resume' *
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. - Terms of Service - Additional Terms