Emerging Leaders Academy Application

Personal Information

Name(Required)

First Last

Email(Required)

Phone(Required)

Address(Required)

City State / Province / Region

Your Organization/Affiliation

Organization or Company Name(Required)

If you are an independent consultant or not affiliated with an organization, please enter “N/A”.

My organization is (select one) :

Organizations 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.

Mission or Purpose of Your Organization or Company(Required)

If you’re applying as an individual, please describe the focus of your work.

Number of Part-time Paid Staff(Required)

Number of Full Time Paid Staff(Required)

Your Experience

Current Job Title(Required)

Number of Years in Current Position(Required)

Number of Years with Current Organization(Required)

Do you currently supervise staff?(Required)

Yes

How many staff do you supervise?

Do you currently have budgetary responsibilities?(Required)

Yes

Please describe your experience/responsibilities.

Please upload a copy of your current resume.(Required)

Max. file size: 50 MB.

Why You're Interested

Please 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.