2018 HPDL Application

Thank you for your interest in the 2018 High Potential Diverse Leaders (HPDL) program. We look forward to reviewing your application. Please be reminded that the application deadline is Tuesday, May 8, 2018.

Instructions for Submission

- Answer all questions and (electronically) sign the application
- Provide resume and bio shortly after online submission to nonprofituniversity@gcn.org
using "HPDL Application Resume & Bio for (Your full Name )" in the subject line

Selection Process

- All applications are carefully reviewed by an internal selection committee
- Receipt of applications will be acknowledged within five (5) business days of the receipt of a completed
application and resume
- Payment in full is due upon acceptance into the program
- Participation in HPDL is limited. Once the class is full, additional applicants will be denied and invited to apply for the next year

Tuition

- Tuition is $499.00 for members, $699.00 non-members
- Payment in full is due upon acceptance into the program and may be made by check or credit card.

Question Title

* 1. Personal Information

Name (First and Last):

Title:

Organization:

E-Mail:

Confirm E-Mail:

Phone:

Yrs. at Current Organization:

Question Title

* 2. Organizational Information

Organization:

Street Address(1):

Street Address (2):

County:

City, State, Zip:

Phone:

Mission:

Annual Operating Budget:

Number of Employees:

Question Title

* 3. How did you hear about HPDL?

Alumnus

Employer

Marketing E-Mail

GCN Website

Other (please specify)

Question Title

* 4. Have you applied for HPDL before?

Yes

If "Yes" What year(s)?

Question Title

* 5. Have you participated in other leadership programs in the past?

Yes

If "Yes" What program(s)?

Question Title

* 6. Professional Affiliations,Civic and Volunteer Activities

Organization 1

Position(s) Held

Date(s) of Service

Organization 2

Position(s) Held

Date(s) of Service

Organization 3

Position(s) Held

Date(s) of Service

Question Title

* 7. What do you consider to be your highest professional achievement to date?

Question Title

* 8. Awards and Honors

Organization 1

Award(s) Received

Year(s) Received

Organization 2

Award(s) Received

Year(s) Received

Organization 3

Award(s) Received

Year(s) Received

Question Title

* 9. Submit a paragraph explaining how you / your organization will benefit from your participation in HPDL.

Question Title

* 10. Application Completion:

(Electronic) SIGNATURE OF APPLICANT:

Date:

Please be reminded to submit a resume and bio to nonprofituniversity@gcn.org
using "HPDL Application Resume & Bio for (Your full Name )" in the subject line.