Please submit the below responses to register for the 2021 Colorado Leadership Academy. Each participant from the district should complete their own application.

If you have any questions, please contact Erin Brooks at ebrooks@accelerateinstitute.org. 

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* 1. First Name:

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* 2. Preferred Name (if different from first name):

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* 3. Last Name:

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* 4. Date of Birth:

Date

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* 5. Preferred Email:

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* 6. Cell Phone Number:

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* 7. Preferred Pronouns:

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* 8. School District:

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* 9. School Name:

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* 10. School Address (please make sure to include city, state, and zip code):

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* 11. Job Title:

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* 12. Please list the day-to-day responsibilities of your current position (this can be a bullet point list; does not need to be complete sentences).

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* 13. Why are you interested in participating in the CO Leadership Academy? What do you hope to gain from the program?

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