The LDI program includes four, day-long in-person sessions spread over a 9-month period, with the first session occurring immediately after CPhA’s Leader Development Weekend.

Due to the inability to set reliable meeting dates because of COVID-19, CPhA is postponing the start of the next LDI cohort until Summer 2021.  While dates have not yet been established for the in-person sessions, CPhA will continue to accept applications on a rolling basis.  Once dates have been set (likely in early 2021), applicants will be contacted with more details.

Applicants must complete the Readiness Assessment Quiz before completing the LDI Application.  You will be asked to enter your Readiness Assessment Score in question 1. Click here to access the Readiness Assessment Quiz.

If you have questions about this application, or about LDI in general, please direct them to Sheila Johnston at sjohnston@cpha.com.


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* 1. Please enter the score (number of points, not percentage) from your readiness assessment quiz.

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* 2. LDI builds upon the material covered in the Fundamentals track of CPhA’s Leader Development Weekend (LDW), and completion of LDW (or a similar PLEI program) prior to Session 1 of LDI is required.*

Personal Availability
The format of LDI programming is heavily influenced by transformative learning (TL) theory (https://youtu.be/liU1zsi3X8w), which makes the program very dependent on the full engagement of its participants.  When individuals “hold back”, miss a session, arrive late or leave early, their learning and the learning of the entire group is impacted. To help us assemble a cohort that maximizes the learning for all involved, please answer the following questions.


Physical Availability
Since less than 100% attendance can negatively impact the learning of the entire cohort, only those individuals who can commit to attending the entirety of all four in-person sessions will be considered. Again, applicants will be notified in early 2021 once session dates and locations are selected.

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* 3. I can commit to attending all four required in-person sessions? 

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* 4. Experience has shown that a good deal of informal learning (and enjoyment) occurs during networking activities before and after the formal sessions. How confident are you in your ability to attend the following optional in-person experiences at your own cost (if applicable)? *

  Not at all confident Uncertain Somewhat confident Very confident
Informal networking events during the evenings PRIOR to the live sessions
Informal networking events during the evenings AFTER the live sessions
CPhA’s Annual Western Pharmacy Exchange, April 2021 (immediately following the final LDI session)

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* 5. The time between sessions represents a significant opportunity to deepen one’s learning and put LDI lessons into action. This work is supported by virtual video/teleconferences with a ~4-person learning pod and a Learning Coordinator (LC) who is an LDI alumnus. How confident are you in your ability to actively participate in these 30-60 minute video/teleconferences 1-2 times per month? (Actual frequency and times of calls will be determined by your group). *

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* 6. Use the space below if you would like to describe any concerns you have regarding your physical availability for LDI:


Tuition

Tuition for the entire 9-month program is:
CPhA members: $1,900 
Non-members:   $2,300*  

*One year of membership is included in the non-member rate

For the next cohort, CPhA is generously providing up to 18 select participants with scholarships to cover all tuition costs except for a $500 nonrefundable deposit ($900 for nonmembers - this includes 1 year of CPhA membership) which must be paid within 14 calendar days of being notified of acceptance to the program.

Upon successful completion of the yearlong program (which includes attendance at every live session), CPhA will apply $400 of the deposit’s value toward the graduate’s registration fee for CPhA’s 2022 Western Pharmacy Exchange.


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* 7. How confident are you in being able to find a way to cover tuition?

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* 8. Use the space below to describe any concerns you may have regarding your financial availability for LDI with or without a scholarship to help with expenses:

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* 9. Now tell us about YOU!

Demographics
CPhA's goal is to enroll a class of diverse individuals. We want this group to be diverse in its thoughts and perspectives, as well as in its professional experience (as it relates to both scope and duration). To assist our efforts in achieving this diversity, please provide the following information:

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* 10. From WHERE did you receive your pharmacy degree and WHAT YEAR did you do so?*

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* 11. What AREA OF PHARMACY PRACTICE (community, hospital, managed care, etc) would you say best describes your career to date?*

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* 12. What area(s) of pharmacy practice are you considering for the FUTURE?*


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* 13. What's your CPhA Member Type? *

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* 14. In what geographical area do you live and work? If you know your CPhA local association, please list that as well.

Leadership Experience & Aspirations

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* 15. Past Experience - Please list ~5 of your past volunteer leadership roles. Include the date, organization and title.

Don't worry if you don't have a lot to report. This is after all a leader DEVELOPMENT program.*


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* 16. Please list what leadership roles, if any, you will be fulfilling for CPhA in 2021.*

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* 17. Please describe one of your past leadership experiences (or an experience where you tried to influence someone or influence some sort of change) that did not go well and explain what you believe went wrong. *

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* 18. Describe one leadership aspiration you have for yourself and explain WHY it's important to you.

Don't be modest…this is your chance to be AUDACIOUS! Show us how BIG you can think.*


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* 19. If there was one person out there who was going to nominate you for an award to recognize your leadership potential, who would it be and WHY would they nominate you?

Again, don't worry if you can't think of anyone.


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* 20. If you answered the previous question, would you be willing to have us contact this individual? If so, please provide their name and phone number.

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* 21. Thank You!
If there's anything else you'd like to tell us, please do so below. Otherwise, just hit the "DONE" button below.  We will be in contact in early 2021 with specifics on the next program.

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