ELI Application Form &#8211; NYSCAA Resources

Emerging Leaders Institute (ELI) Application, 2025

Deadline to submit the application is January 13, 2025
Name*

First NameLast Name
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Email*
example@example.com
Phone Number*
Please let us know if you are returning 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 1.0ELI 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 25th, 1:00 pm to 2:30 pm
- Spring Seminar:
  - April 8th, 9 am to 5 pm.
  - April 9th, 8:30 am to 2 PM
  - Craftsman Inn and Suites, Fayetteville, NY
- Summer Virtual Seminar:
  - July 8, 15, and 22nd (Tuesdays)
  - 1 pm-3 pm each day
- Fall Seminar:
  - September 16th, 9 am to 5 pm.
  - September 17th, 8:30 am to 2 pm
  - Syracuse venue TBD
These courses are hosted on NYSCAA Learn and can be taken anytime before the first seminar. After your application has been accepted, you will receive more information about registering for these courses.
- Welcome to NYSCAA
- Community Action Overview
- Community Action: Our History, Our Narrative
- Diversity and Inclusion in the Workplace
- 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 $245. Participants will be sent an invoice. (The hotel overnights and transportation to and from the Seminar location is the responsibility of the participant.)
Supervisor Approval

Participation in ELI must be approved by a supervisor prior to the start of the program. Please provide contact information for the approving supervisor. Including your supervisor’s name and email address indicates your supervisor has agreed to your participation in ELI 2025.
Supervisor's Name

First NameLast Name
Supervisor's Email
example@example.com
Work History
Which Community Action Agency are you employed with*
Job Title*
Are you a supervisor?*

YesNo
How many people do you supervise?*

1-56-10Over 10Not 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, 2025

Supervisor Approval