APPLICATION
The NAACP Next Generation Leadership Program is a training program for young adult NAACP members between ages 21 and 35. The NAACP NextGen program features a series of trainings, including leadership development, legislative action, unit administration and programming consistent with the NAACP six Game Changer areas, which include economic sustainability, education, health, criminal justice, political action and youth engagement. Complete this application to apply for the NAACP NextGen Program. NEXTGEN participants will be required to become a $75 Subscribing Life Member of your local Adult Branch before the start of this 2019 program. If you are already a Life Member, you will be required to provide a copy of your Membership Card or Life Membership Plaque. All applications will be reviewed and scored based on the written details provided in this application explaining your NAACP experience, future objectives and goals in completing this NEXTGEN Program.
FIRST NAME *
Your answer
LAST NAME *
Your answer
CELL PHONE # *
Your answer
EMAIL ADDRESS *
Your answer
ARE YOU A NAACP MEMBER? *
NAACP MEMBERSHIP AFFILIATION *
Are you an At Large NAACP Member or affiliated with a NAACP Adult Branch, College Chapter, Youth Council or other Unit?
ARE YOU STILL IN COLLEGE? *
IF YOU ARE STILL IN COLLEGE, WHEN DO YOU GRADUATE?
IF YOU ARE STILL IN COLLEGE, WHAT ADULT BRANCH DO YOU PLAN TO JOIN AFTER GRADUATION?
Your answer
AGE RANGE *
Within which age range are you? The training program is for NAACP members between the ages of 21 and 35. Your application will not be accepted if you are outside of this required age range. You are eligible for consideration if you are 35 at the time of completing this application. You are eligible for consideration if you will be 21 by the start of the 2019 NEXTGEN Training Class.
IF YOU ARE 20, WHEN WILL YOU TURN 21?
Your answer
REGION *
Within which of the 7 NAACP Regions is your unit of affiliation? If you are an At-Large member (not in a specific unit), which Region do you currently reside as a registered voter?
STATE *
In which state do you currently reside? Please specify the state in which you are a registered voter, not necessarily the state of your Branch or Unit Affiliation.
ARE YOU CURRENTLY A MEMBER OF AN NAACP ADULT BRANCH? (PLEASE NOTE: NOT A COLLEGE CHAPTER OR YOUTH COUNCIL, BUT AN ADULT BRANCH) *
DO YOU CURRENTLY HAVE A LEADERSHIP POSITION IN AN NAACP ADULT BRANCH? (NOTE: NOT A COLLEGE CHAPTER OR YOUTH COUNCIL, BUT ADULT BRANCH) *
WHAT LEADERSHIP POSITION DO YOU CURRENTLY HAVE IN YOUR ADULT BRANCH? (IF APPLICABLE)
Your answer
CURRENT BRANCH OR UNIT (IF APPLICABLE)
Provide the name of your current Adult Branch, College Chapter, Youth Council or Unit of Affiliation
Your answer
CURRENT UNIT # (IF APPLICABLE)
Provide the 4-Digit Unit # of your current Adult Branch, College Chapter, Youth Council or Unit of Affiliation
Your answer
CURRENT POSITION (IF APPLICABLE)
What is your current position within your Adult Branch, College Chapter, Youth Council or Unit of Affiliation?
Your answer
PREVIOUS NAACP YOUTH & COLLEGE AFFILIATION (IF APPLICABLE)
What previous involvement have you had within the NAACP Youth & College Division or Youth Unit Affiliations, if applicable?
PREVIOUS NAACP YOUTH UNIT (IF APPLICABLE)
Provide the name of your previous NAACP Youth Unit of Affiliation, if applicable.
Your answer
PREVIOUS NAACP YOUTH LEADERSHIP POSITION (IF APPLICABLE)
Explain the leadership position(s) you held in your College Chapter, Youth Council or Youth Unit of Affiliation, if applicable.
Your answer
OBJECTIVES *
NEXTGEN is an intense 12 month training program, which requires participants to complete a series of trainings on various topics to increase your knowledge and skills to become an effective leader in an NAACP Adult Branch. What objectives would you like to accomplish by completing the NAACP Next Generation Leadership Program? Detailed responses will receive a higher rating.
Your answer
DO YOU HAVE SPECIFIC LEADERSHIP GOALS IN THE NAACP? *
GOALS IN THE NAACP *
What personal leadership goals would you like to accomplishment within the NAACP? Your application will be rated based on the level of detail you provide in specifying your leadership goals in your NAACP Adult Branch. What position are you interested in pursuing? Detailed responses will receive a higher rating.
Your answer
WHAT NAACP LEADERSHIP POSITION WITHIN YOUR ADULT BRANCH, DO YOU WANT TO BE TRAINED? *
OVERVIEW *
Provide any additional details explaining your experience in the NAACP and your interest in completing the NAACP Next Generation Leadership Development Program. Please specify your experience in the NAACP by detailing any previous affiliation with the NAACP as a youth or in college. Explain your current involvement in the NAACP now and what you would like to accomplish by completing this training program. Detailed responses will receive a higher rating.
Your answer
NEXTGEN 12-MONTH TRAINING PROGRAM *
The NEXTGEN 12-Month Training Program includes monthly conferences calls, webinars, case studies, group-exercises and in-person class room trainings throughout the year. Do you consent to participate in the monthly conference calls, webinars, case studies, group-exercises and in-person classroom trainings required by the the NEXTGEN Program?
NAACP DIRECT ACTION ALERTS *
Do you consent to receive NAACP Direct Action and Legislative Alerts from the NAACP in response to legislative actions, political action or grassroots mobilizations in your local area?
NEXTGEN CAREER CENTER EMAIL RELEASE *
Do you consent to grant the NAACP and its licensees, successors, and assigns the absolute, unrestricted, non-exclusive right and permission to: release and share my email address provided in my NEXTGEN Application to companies for recruitment purposes of sending employment announcements and job opportunities for which I may apply. I release, acquit and forever discharge the NAACP, its current and former trustees, agents, officers and employees of the above-named entities from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said email address, including but not limited to any claims for invasion of privacy and other claims. I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assigns and personal representatives. I have read and fully understand the terms of this release.
PHOTO AND VIDEO RELEASE *
Do you consent to grant the NAACP and its licensees, successors, and assigns the absolute, unrestricted, non-exclusive right and permission to: (i) photograph and film me participating in the above-referenced project/event (“Project”), and (ii) copyright, record, reproduce, broadcast, distribute, edit, publish, exhibit, disseminate, couple and use any way in throughout the universe and in perpetuity, the Recording, whether as videotape, film, picture, negatives, prints, photographs, stills or other recordings of the Project made by the NAACP, and any reproduction thereof, including the right to publish and perform the Recording for use through any medium or media now known or hereafter devised, and for advertising, publicity, promotion, programming or any other lawful purpose whatsoever related thereto. The foregoing rights and permissions shall be exercisable in whole or in part, at the sole discretion of NAACP. As a NEXTGEN participant, I agree that NAACP is the sole owner of the Recording and its proceeds and I waive any interest I may have in and to the copyright in connection therewith.I release, acquit and forever discharge the NAACP, its current and former trustees, agents, officers and employees of the above-named entities from any and all claims, demands, rights, promises, damages and liabilities arising out of or in connection with the use or distribution of said photographs and/or video recordings, including but not limited to any claims for invasion of privacy, appropriation of likeness or defamation. I hereby warrant that I am eighteen (18) years old or more and competent to contract in my own name or, if I am less than eighteen years old, that my parent or guardian has signed this release form below. This release is binding on me and my heirs, assigns and personal representatives. I have read and fully understand the terms of this release.
SUBSCRIBING LIFE MEMBER *
Are you a Life Member of the NAACP? If not, do you consent to become a Subscribing Life Member of an Adult Branch, by making your $75 subscribing life membership payment before February 1, 2019.
TWITTER
If you are on Twitter and would like to follow NAACP NextGen efforts on Twitter, please provide your Twitter name.
Your answer
FACEBOOK
If you are on Facebook and would like to follow NAACP NextGen on Facebook, please provide your Facebook name.
Your answer
INSTAGRAM
If you are on Instagram and wold like to follow NAACP NextGen efforts on Instagram, please provide your Istagram name.
Your answer
DID YOU PARTICIPATE IN ANY COMPONENTS OF THE 2018 NEXTGEN PROGRAM? *
DID YOU PARTICIPATE IN TRACK 2 OF THE 2018 NEXTGEN PROGRAM? *
HOW DID YOU HEAR ABOUT THE NEXTGEN PROGRAM? *
WERE YOU REFERRED TO APPLY BY A 2018 NEXTGEN PARTICIPANT? IF SO, PROVIDE THE NAME OF THE 2018 NEXTGEN PARTICIPANT THAT REFERRED YOU TO APPLY FOR THE 2019 PROGRAM. *
Your answer
ARE YOU A MEMBER OF A STRATEGIC PARTNERSHIP ORGANIZATION? IF SO, PLEASE SELECT YOUR APPLICABLE ORGANIZATION. *
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