Emerging Leaders Academy Application Personal InformationName(Required) First Last Email(Required) Phone(Required)Address(Required) City State / Province / Region Your OrganizationOrganization Name(Required) My organization is (select one) :a current CNE memberaffiliated with an Institutional Member (Virginia Organizing, Library of Virginia, or Virginia Main Street)not currently a member of CNE or its institutional partnersOrganizations that are CNE members or affiliated with one of our institutional members (Virginia Organizing, Library of Virginia, or Virginia Main Street) are eligible for a discounted program rate.Organization Mission(Required)Annual Operating Budget(Required) Under $100,000 $100,000-$250,000 $250,000-$500,000 $500,000-$1,000,000 $1,000,000-$2,000,000 Over $2,000,000 Number of Part-time Paid Staff(Required)Number of Full Time Paid Staff(Required) Your ExperienceCurrent Job Title(Required) Number of Years in Current Position(Required)Number of Years with Current Organization(Required)Do you currently supervise staff?(Required) Yes No How many staff do you supervise?Do you currently have budgetary responsibilities?(Required) Yes No Please describe your experience/responsibilities.Please upload a copy of your current resume.(Required)Max. file size: 50 MB. Why You're InterestedPlease briefly tell us why you're interested in the Emerging Leaders' Academy and what you hope to gain through the experience.(Required)Please tell us about your long-term career aspirations. What contribution will you make to the community?(Required)Program Tuition: If selected, participants understand that tuition is $1,000 for CNE members and $1,650 for nonmembers. Requests for scholarship assistance will be considered on a case-by-case basis after final selection of participants has been made. Please indicate your plan for payment: Self Employer Other Other (Please Specify) Please upload a letter of support from your supervisor or a senior leader at your organization (e.g., Executive Director, CEO, or Department Head).Max. file size: 50 MB.
