If you would like assistance with this application, please contact 617-442-4111. 
The Massachusetts Leadership Academy (MLA) is a 3-day retreat where we gather to develop our personal leadership skills, learn about the mental health movement, and learn how to advocate for change through the power of peer support.  

This year we will explore how to bridge gaps between the mental health advocacy community and the physical disability community.  People who identify with both of these groups are encouraged to apply.  By bringing people together across a spectrum of abilities and struggles, we hope to weave a strong web of resources and allies to improve our lives.

* 1. NAME and CONTACT information

* 2. What is the best way to reach you?

* 3. How did you find out about the 2018 MLA?

* 4. Check all accommodations that you are requesting, please write in details below.  We will communicate with you about any requests and meet them if we are able.

* 5. Check all that you identify with (this section is optional):

* 6. What is your preferred pronoun?  
This is optional, any information you share will help us plan overnight accommodations.

* 7. Participants are responsible for their own transportation to and from the event.  For assistance in determining transportation options please contact us at 617-442-4111.

* 8. Are you applying as a daily commuter?

* 9. What are some areas where you want to grow as a leader and as a member of a group?

* 10. What do you hope to learn from attending the Massachusetts Leadership Academy?

* 11. Describe any involvement you have had in advocating for social change for yourself or someone else?

* 12. How do you hope to contribute your efforts to supporting or advocating with others after the retreat?

* 13. What kinds of experiences have you had giving and receiving peer support?

* 14. Although we have a relaxing location for the training, it takes a certain amount of stamina to participate each day and to be away from home for 3 days.  Could this in any way be a problem for you?