Please submit your application form by July 1, 2019 for final deadline.
If you have questions, please call Bill Labich (413) 658–5308.

Question Title

* 1. About Each Team Member - Applicant #1

Question Title

* 2. About Each Team Member - Applicant #2

Question Title

* 3. About Each Team Member - Applicant #3

Question Title

* 4. About Each Team Member - Applicant #4

Question Title

* 5. About Each Team Member - Applicant #5

Question Title

* 6. Name of RCP:

Question Title

* 7. What is your RCP’s mission statement? 

Question Title

* 8. When was your RCP established?

Question Title

* 9. What state(s) or region does your RCP serve?

Question Title

* 10. Please check the activities in which your organization engages:

Question Title

* 11. Describe your RCP’s leadership and or governance structure(s):

Question Title

* 12. Why does your team want to participate in the RCP Collaborative Leadership training? What does your RCP hope to gain?

Question Title

* 13. What do you see as your RCP’s leadership strengths and challenges?

Question Title

* 14. Has any of your RCP’s team members participated in any leadership development programs? If so, which ones?

Question Title

* 15. Is there anything else you’d like to tell us about your experience as a leader and the culture of leadership and collaboration within and outside of your RCP (with collaborating entities)?

T