Application: Indigenous Immersion Initiative 2022 Question Title * 1. First Name Question Title * 2. Last Name Question Title * 3. Contact information: Address Address 2 City/Town State/Province ZIP/Postal Code Email Address Phone Number Question Title * 4. What year did you graduate from Leadership Montana? Question Title * 5. Current Organization: Question Title * 6. Type of Organization: Question Title * 7. Current Job Title: Question Title * 8. What is your experience with working in Indigenous communities and working with Indigenous people? Question Title * 9. What do you want to gain from a Leadership Montana experience centered around learning about Indigenous people from Indigenous leaders? Question Title * 10. How will you use this experience to make Montana a better place for Indigenous people? Question Title * 11. Have you served in public or political office? Yes No Question Title * 12. If you answered "YES" to the question above, please explain here: Question Title * 13. Your success in this experience and any training is dependent on support and commitment from your supervisor/employer/sponsor/partner. This person is part of your accountability for the growth and change of your experience in the program. Who are you accountable to for this experience? Name(s) Role/Relationship E-mail address: Question Title * 14. Full participation is expected for members of this cohort and the Orientation is required. Session dates:Session 1: March 21-22, 2022 West Creek RanchSession 2: April 21-23, 2022 MissoulaSession 3: July 11-13, 2022 Blackfeet NationSession 4: September 19-21, 2022 Northern Cheyenne NationAt this point, will you be missing any days of our class sessions? If so, what dates will you be absent? Question Title * 15. Do you need scholarship support? Yes No Comments Question Title * 16. Anything else we should know? Questions? Please contact us. Marci McLean, Indigenous Program Director - marci@leadershipmontana.org Chantel Schieffer, President/CEO - chantel@leadershipmontana.org Question Title Next