Request for Inclusive Leadership Pass
Across our programs and services, Leadership Montgomery reserves a number of participant seats for historically marginalized and underrepresented leaders, regardless of job title, to participate at a reduced sliding scale rate or at no cost. To determine if we are able to accommodate your request, please answer the following questions. Reserved seats will be offered to qualified requestors in the order of requests received. Additional seats may be made available one week prior to the event.
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Do you live or work in Montgomery County?
*
Organization (if applicable)
Which training are you interested in attending?
Please Select
Strategic Influence in Leadership
Enhancing Workplace Collaboration
Essentials for Nonprofit Board Service
Leading Healthy & Effective Teams
How did you hear about this training opportunity or LM?
1. Why do you want to attend this training? What do you hope you will gain?
2. How do you believe this training can build your knowledge and skills related to your job or position?
3. How do you believe this training will enhance your leadership?
4. What financial contribution (if any) are you able to make at this time?
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Demographic Information
Leadership Montgomery is committed to fostering inclusive leadership by ensuring that historically marginalized and underrepresented leaders have equitable access to our programs and services. As part of our efforts to track progress and improve accessibility, we collect demographic information to help us understand who is applying for and receiving support through the Inclusive Leadership Pass. Demographic information is one factor in our selection process but is not the sole determining factor for approval. It helps us ensure that we are meeting our commitment to equity, diversity, and inclusion (EDI), but applicants are also evaluated based on their leadership goals, the relevance of the training to their role, their potential impact on their organization or community, and financial need. All demographic data will remain confidential and will only be used internally to enhance the effectiveness and accessibility of our programs. Providing this information is optional, and applicants will not be disqualified for choosing not to disclose specific details.
What is your gender identity? (Select all that apply)
Woman
Man
Nonbinary or Gender non-conforming
Transgender
Prefer to self-describe
Prefer not to answer
How do you identify racially and/or ethnically? (Select all that apply)
American Indian, Native American, Indigenous or Alaska Native
Asian or South Asian
Black or African American
Latino/a/x/e or Hispanic
Middle Eastern/North African/West Asian (MENA/WANA)
Native Hawaiian or Other Pacific Islander
White
Biracial, mixed-race, or multiethnic
Prefer not to answer
Other
Are there any other identities that you bring into your leadership?
Submit
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