ELI Application Form &#8211; NYSCAA Resources

Emerging Leaders Institute Application
Name *

First Name Last Name
Work Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Email *
Phone Number *
Please let us know if you are hoping to return to the Emerging Leaders Institute Program (as a 2.0 Member), or if you are new to ELI and will be applying to participate in the 1.0 group.
ELI 1.0 or 2.0? *

ELI 1.0 ELI 2.0
Mandatory Seminars & eCourses
Attendance at the following seminars is mandatory for all ELI Members. Seminars may be in-person and/or on a virutal platform.

Mandatory Seminars:
- Introductory Webinar: February/March
- Spring Seminar: March-April
- Late Spring/Early Summer Seminar: June-August
- Fall Seminar: September - November
These courses are hosted on NYSCAA Learn and can be taken anything before the first person seminar in March.
- Welcome to NYSCAA
- Community Action Overview
- Community Action: Our History, Our Narrative
- Applying ROMA in a CAA
- Optional: Community Action Agency Board Roles and Responsibilities
Seminar Attendance & Fee
Please click box to agree. *

If accepted to ELI, I will attend the seminars and complete the courses listed above. (The cost of the seminars is covered in the program fee of $125. The hotel overnights and transportation to and from the Seminar location is the responsibility of the participant. Participants will be sent an invoice.)
Work History
Agency *
Job Title *
Are you a supervisor? *

Yes No
How many people do you supervise? *

1-5 6-10 Over 10 Not Applicable
Please list the positions you have held at your current agency. Starting with the most current position. To add another position, click the "+" sign next to the field. *
Essay

Describe your commitment to Community Action, your hopes for your future career path, why you want to participate in ELI, and how you hope to benefit by participating in the program. Please upload a Microsoft Word document or PDF of no more than 500 words.
Upload Essay *

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Emerging Leaders Institute Application