Applicant Name and Contact information

The American Probation and Parole Association (APPA) offers its Leadership Institute – a twelve month journey of self-discovery and organizational change for emerging leaders in community corrections.
 
To apply for the upcoming Leadership Institute class, please complete the application survey questions and attach all required documents.  Applications must be completed before midnight Eastern Daylight Time, June 16, 2023.

PLEASE NOTE: All fields and document uploads are required to complete the application.  If you need to pause and come back, make sure you finish filling out the current page you are on and hit "NEXT" before exiting Survey Monkey to save the information you have entered/uploaded to that point.  Returning to the survey will take you back to the point where you left off previously.
 

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* 1. Enter your first and last name

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* 2. Enter your Agency name

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* 3. Enter your title

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* 4. How many years have you held your position?

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* 5. Enter your address

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* 6. Enter your email address

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* 7. Enter your phone number

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* 8. Please describe any accessibility requirements you have i.e. visual or hearing impairment, etc. Please mark, N/A, if none.

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* 9. I agree to fully participate in the Leadership Institute as defined by the graduation requirements. I have reviewed the published schedule and am available to attend the on-site sessions. My goal is to participate in a leadership role within my agency upon program completion, and perhaps in the American Probation and Parole Association. Further, I understand that upon acceptance to the Leadership Institute I am required to provide a photograph to be shared with program coordinators, my fellow participants, and perhaps others involved in the program.

Applicant Signature:

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