Climate Leadership Program Application
Applications are due at noon on Monday October 14, 2019. Applications received before Oct 17 MAY be considered.
Successful applicants will be contacted by email beginning October 15, 2019
Successful applicants must accept the offer with in a day of their notification.

Applicants must also email a pdf of their resume to
Email address *
Communications & Privacy *
The information you provide is confidential and gathered to support the Regeneration Learning Society (the Society) in delivering the Climate Leadership Program (CLP) and related Society projects. All information will only be used by Society staff or program facilitators. You must agree to the terms below to apply and participate in the CLP
First & Last Name: *
Name you prefer to go by (if different from above): *
Cell phone: *
I have emailed a pdf of my resume to *
Use the upload + button on the same page that brought you here to upload your resume. If you have trouble doing this, email your resume as an attachment to
Reference person (1) name, email, phone and why you chose them as your reference: *
Use someone who is familiar with you in a leadership role. They don't need to be an employer. Please mention what your relationship is with the reference.
I will attend ALL of the program sessions *
Oct 24-27 2019 Dec 5-8 2019 Jan 10-12 2020 Feb 7-9 2020
Place of residence: *
Alternative phone number to reach you at:
Email you'd like to receive program information at: *
Please provide an email address that is compatible with Google Drive
Why are you applying to the Climate Leadership Program (CLP)? *
Tell us about your present work situation, or continuing organizational role and how climate leadership skills can be integrated into it? *
What opportunities for climate action in your leadership role are accessible for you to support and lead? *
How will your work and personal experience contribute to the diversity of the CLP? *
What attracted you to your present work? How have you dealt with parts of your work that give you dissatisfaction? *
Tell us about a time that you exercised leadership. *
Where do you see yourself in five years, if your wildest dreams came true? *
(Voluntary). Let us know what equity seeking communities you identify with.
Identify barriers to your participation that the CLP can address.
How did you hear about the CLP?
Is there anything else that you wish to tell us about yourself, or your application?
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