APPLICATIONS HAVE CLOSED | Official Delta Leadership Program 2024 Application Form

Delta Leadership Program Application

DPC Form 005, Rev. 9/12/2024
FILES YOU WILL NEED BEFORE YOU BEGIN

1. In addition to filling out this form, you must upload at least one, and up to three, letter(s) of recommendation from another person who supports your nomination. PDFs and Word documents are accepted.

2. It is helpful to upload the nominee's resume as well. PDFs and Word documents are accepted.

ADDITIONAL ACTION REQUIRED

Once you submit this form, you will receive an email confirming all the information you submitted. Your nominee will receive an email at the address you provide for them asking them to complete a form signaling their commitment to the following:
- Participate on all program dates.
- Do a small amount of background reading.
- Participate in a class project that will require about 2 hours time a month outside of class time.
This commitment form is required for the nominee to be considered, so it is essential that you use the nominee's correct email address. You must also ensure the nominee follows through and completes the form. If the nominee does not receive the email with the link to the form, contact Erik Vink at Erik.Vink@delta.ca.gov or by calling (530) 650-6327.
NOMINEE INFORMATION
Nominee's name (self-nominations are accepted)*

First NameLast Name
Nominee's mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominee's daytime phone number*
Please enter a valid phone number.
Nominee's mobile phone number*
Please enter a valid phone number.
Nominee's email address*
example@example.com
NOMINATOR INFORMATION
Nominator's name*

First NameLast Name
Nominator's mailing address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Nominator's daytime phone number*
Please enter a valid phone number.
Nominator's mobile phone number*
Please enter a valid phone number.
Nominator's email address*
example@example.com
QUALIFICATIONS

Take as much space as you need to describe the nominee's qualifications for the program.
1. Please describe your nominee's connection to the Delta.*
2. Please detail the nominee's community involvement. Please include the names of any organizations served, any positions held and years of service.*
3. Describe how the nominee’s community service or leadership ability has already made an impact, or how their current activities are on track to create positive change. Include as many examples as you feel are relevant.*
4a. Describe why YOU believe the nominee is a Delta leader. Your personal thoughts about and connections to the nominee are important to the selection process, so please share freely.*
4b. Describe how you think the nominee would benefit from this opportunity. Your personal thoughts about and connections to the nominee are important to the selection process, so please share freely.*
4c. Describe why you believe this nominee will remain active in the Delta community. Your personal thoughts about and connections to the nominee are important to the selection process, so please share freely.*
Upload the nominee's resume, if available.

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Upload at least one letter of recommendation to support your nomination (REQUIRED).*

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Upload a second letter of recommendation to support your nomination.

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Upload a third letter of recommendation to support your nomination.

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Not all nominees will be accepted; please refrain from announcing your nomination publicly until the 2025 participants have been announced in December.*

I acknowledge that my nominee may not be chosen, so I should refrain from public announcements about this nomination.
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Delta Leadership Program Application

FILES YOU WILL NEED BEFORE YOU BEGIN

ADDITIONAL ACTION REQUIRED

NOMINEE INFORMATION

NOMINATOR INFORMATION

QUALIFICATIONS