2017-2018 Neighborhood Leadership Program Application
Applications are due by 5:00 pm on Friday, August 4, 2017.

NLP Program Dates & Times:
Orientation: Tuesday, September 19, 5:00 pm – 8:00 pm
Retreat (in town): Friday, September 29, 4:00-9:00 pm & Saturday, September 30, 9:00 am - 4:00 pm
Session 1: Tuesday, October 10, 5:00 pm – 8:00 pm
Session 2: Saturday, October 21, 9:00 am – 3:00 pm
Session 3: Saturday, November 4, 9:00 am – 3:00 pm
Session 4: Saturday, November 18, 9:00 am – 3:00 pm
Session 5: Tuesday, December 5, 5:00 pm – 8:00 pm
Session 6: Saturday, December 16, 9:00 am – 3:00 pm
Session 7: Tuesday, January 16, 5:00 pm – 8:00 pm
Session 8: Saturday, February 3, 9:00 am - 3:00 pm
Session 9: Saturday, February 17, 9:00 am – 3:00 pm
Session 10: Saturday, March 10, 9:00 am – 3:00 pm
Graduation: Wednesday, March 14, 5:30 pm – 8:00 pm

Each participant or their sponsors are asked to pay a $200 registration fee. If you need help identifying a sponsor organization or a scholarship, please indicate so when you receive notification of your acceptance. NLP spends approximately $4,000 on each participant. Thus, we ask participants, or their sponsors, to contribute more than the registration fee whenever possible.

First Name *
Your answer
Last Name *
Your answer
Gender *
Your answer
Gender Pronouns (in order to appropriately address you in all correspondence) *
Address *
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Are you 18 or older? *
Home or Cellular Phone *
Your answer
Work Phone
Your answer
Home Email
Your answer
Work Email
Your answer
Preferred Phone *
Preferred Email
Childcare is available on a limited basis. Do you need onsite childcare in order to attend sessions? *
If yes, what are the ages of the children you'll need childcare for? (childcare is available for children 16 months to 13 years old)
Your answer
Transportation assistance is available on a limited basis. Do you need transportation assistance in order to participate in the program? *
1. What is your connection to Saint Paul? (Priority is given to individuals who live, work or volunteer in Saint Paul). *
2. How long have you lived, worked or volunteered in Saint Paul? *
Your answer
3. Why are you interested in participating in this program? *
Your answer
4. Based on the NLP framework, 1) awareness of self; 2) effective working relationships; and 3) engaging in meaningful action, which of the three areas are you most interested in developing, and why? *
Your answer
5. In what ways have you been involved in collaborative efforts in your neighborhood or community? (may also include schools, faith-based organizations or other settings). *
Your answer
6.a. In considering your involvement in the activities you listed in #5, what were your strengths? *
Your answer
6.b. In considering your involvement in the activities you listed in #5, what were your challenges? *
Your answer
7. Please tell us about a topic or issue of interest to you in your community. Be sure to include why you are interested. *
Your answer
8.a. If accepted into this program, you will be committed to attending the retreat (in town) and all program sessions. Please check one of the following. *
8.b. If unable to attend all sessions, please explain which session(s) you will miss and why.
Your answer
Please tell us how you heard about NLP. *
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms