For a Change Leadership Academy Application

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Self-awareness and self-love matter. Who we are is how we lead. -Brene Brown

All that you touch, You Change. All that you Change, Changes you. -Octavia Butler

Email *

Record my email address with my response

Please share the name you go by

(with your legal name in parenthesis if different)

What is your Address? (include street, city, state, zip) *

Phone number(s) *

My age is: *

18-29

30-49

50-69

70+

Prefer not to answer

My gender and pronouns are: *

I describe my racial and ethnic background as: *

Are you a part of the LGBTQ+ community? *

yes

prefer not to say

Do you have a disability or do you require accommodations? *

Yes, but I have no required accommodations that I can't take care of myself

Yes, and I have accommodations that I would like to request. Please call or email me.

Prefer not to say

I am applying to be accepted to For a Change Leadership Academy with the goal of: *

Growing in Leadership to apply to my own work life.

Gaining skills and insights during a time of Transition.

Exploring Leadership and what it means for my life.

With the hopes of facilitating at Women Writing for a Change.

With the hopes of taking leadership roles like being on the board or committees at Women Writing for a Change.

Other:

Required

Explain more about your answer on the question above. *

Please, share a little of what would be on your resume. Where do you work or have you worked, and what do you do or have you done professionally. *

Please, write to the next eleven questions in paragraph form. Your words will be held with respect and confidentiality. There are no right answers. Your application should tell us more about who you are, and what your dreams, hopes and values are as you move into this deeper work.

Write a short bio or autobiography that gives insight into how your life has led to this present moment of considering the commitment to For a Change Leadership Academy. *

Why are you considering For a Change Leadership Academy? and Why is now the right time? *

Describe your relationship to writing. *

What do you read? *

What spiritual or religious tradition were you raised in or currently practice? Explain your relationship to spirituality. *

What is your relationship to your gender or feminism? *

What reservations or concerns do you have about this commitment? *

What are your coping strategies for or during physical and emotional discomfort, stress, new challenges, or difficult people? *

Capture in one sentence who you are or want to be more fully in the world. *

Please, share any questions that arose for you as you were filling out the application. *

A copy of your responses will be emailed to .

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