Application: Community Leadership Academy (CLA)- Paid Internship

Question Title

* 1. Full Name

Question Title

* 2. Address

Question Title

* 3. Cell Phone Number

Question Title

* 4. Email

Question Title

* 5. Date of Birth

Question Title

* 6. Eligibility (select all that apply)

I identify as Black, Indigenous or a Person of Color

I am legally able to work in the United States

I am between the ages of 18 – 24

I am able to attend the training schedule (see flyer for details)

Question Title

* 7. Please share why you are interested in the CLA.

Question Title

* 8. Please explain what would make you successful in this program.

Question Title

* 9. What else would you like us to know about you to help us make our decision?