LEADERSHIP TRAINING - JANUARY 2022 -PRE-APPLICATION

BUILDING ONE AMERICA ~ THE SUMMIT FOR CIVIL RIGHTS

FROM DIVERSITY TO SHARED POWER

Training from Thursday January 27, 2022 - Sunday January 30, 2022

Location: Atlantic City, NJ

Because space is limited, interested individuals must apply to participate in this program. 

The application is below. There is no charge to apply.

*
(including yourself)
Fill in your registration information on this page. If you are registering additional people, you will be able to enter their registration information after you complete this page and click "Review your registration".
Name and Address
Application for Leadership Training
Every applicant must have a sponsor who provides direction, focus, and accountability before and after the leadership training. Examples of sponsors could include your employer or leader including labor leader, spiritual leader, or officer of civic, political, faith or labor organization.
If different from your's
What do you hope to achieve and/or do differently as a result of being in the training?
Examples: Executive Committee, Board member, Staff Organizer, Fundraiser, Elected office
 
On a scale of 1 to 10 (with 10 being the top), to what extent are you the kind of leader you want to be? Describe what your number means in a few sentences.
What makes this training timely for your organization? Example: organizational development issues, leadership turnover, policy challenges, demographic changes, etc.
List any significant leadership training that you have had in the past indicating the topic/subject, who trained you, whether it was sponsored by your work or by an organization you are (or were) associated with.
 
Do you have a preferred roommate? If so, please type the person's name here.
Please type any special requests you have including food requests.