ELI Application Form &#8211; NYSCAA Resources

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 virtual platform.

Mandatory Seminars:

Introductory Virtual Webinar: February 15th at 1:00pm
Spring Seminar*: April 18th and 19th
Summer Virtual Seminar: July 18th, 20th and 25th (short sessions)
Fall Seminar*: October 17th and 18th

*The Spring and Fall Seminars are planned to be in-person but a final decision will be made closer to the date.

These courses are hosted on NYSCAA Learn and can be taken anything before the first seminar. You will receive more information about registering for these courses after your application has been accepted.

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 $199. 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

Name of Community Action 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 (ELI) Application, 2023