2016-17 Leadership Development Institute Application

The Community Action Board’s Leadership Development Institute will provide you with the opportunity to learn basic advocacy skills along with hands-on opportunities to utilize those skills to advocate for important issues in your community.

*Applicants must be Montgomery County residents earning $54,000 or less.

**Childcare reimbursement and meals will be provided for all sessions.

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* 1. Your Information

Name *

Address

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. Why do you want to participate in this program?

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* 3. What would you like to see improved in your community?

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* 4. Please describe any advocacy/community organizing experience you have (i.e. letter writing, testifying, campaigning, participating in a neighborhood initiative, etc.).

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* 5. Have you participated in a program like this before? If so, when? Please briefly describe the program.

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* 6. While the LDI is seeking participants earning less than $54,000, the Community Action Board will consider applicants above the income cut-off on a case-by-case basis. If you are above the cut-off, please tell us about your interest in advocating for County residents with low incomes.

The Leadership Development Institute requires a substantial time commitment: an orientation on Oct. 13 from 6 – 8 PM; workshops from 10 AM – 2 PM on Nov. 5, Dec. 3, Jan. 7, Feb. 4, and March 4; advocacy in April; and a wrap-up session on May 10 from 6 – 8 PM.

By submitting this application, you are stating that you can attend all programs in the LDI.

Applications are due September 9. For more information or to request special accommodations to participate in this program, please call 240-777-1697. TTY users, please call MD Relay (711).