2023 Registration
Please fill in the form below.
Full Name
*
First Name
Last Name
Phone Number
*
-
Area Code
Phone Number
E-mail
*
What neighborhood do you live in? If you need assistance identifying your neighborhood, please contact Neighborhood Affairs.
Do you serve in a leadership role within your neighborhood association (President, Vice President, etc.)?
Are you able to commit one night per week of your time for ten weeks to attending the academy?
Yes
No
Will you require special technical accommodations (laptop, tablet, internet, etc.)? If yes, please briefly explain; if not, please answer No.
Will you require any special accommodations (mobility, dietary, etc.)? If yes, please briefly explain; if not, please answer No.
What do you hope to learn from attending the Neighborhood Leadership Academy?
Please upload a letter of recommendation from your neighborhood leader or organization.
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