Application Form

Class of 2027 Application

Thank you for your interest in the African American Leadership Academy of Charlotte. Please complete the form below to be considered for participation in the 2026-2027 class. Applications must be submitted by Monday, June 8, 2026 by 6:00 PM EST.
Name

First NameLast Name
E-mail
example@example.com
Phone Number
Format: (000) 000-0000.
Alternate Email
example@example.com
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Demographic Questions
Employer
Job Title
Employment Industry
Other: Employment Industry
Employment Sector
Employer Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Direct Leader

First NameLast Name
Direct Leader's Email
example@example.com
Gender
Age
How long have you resided in the Charlotte-Mecklenburg area?
Essay and Video Questions
Applicants are required to submit one video in response to one question as part of the application. You may select the question for the response. The video must be no longer than two minutes and should be recorded in a simple, headshot-style format with no additional graphics to ensure consistency and fair evaluation.

For the question you choose to submit as a video response, please enter “I choose to submit my video response to this question” in the text box and use the upload option to submit your video. Please name your video in accordance with the selected question (i.e. Jane Doe- Question #2).
Based on the program's focus, why do you want to become an Academy Fellow and what do you hope to gain from the experience?

0/250
What is one of your most important short-term career goals and what primary area(s) do you want to grow in and evolve as a leader?

0/250
What actions or roles have you taken to create meaningful impact in the Charlotte-Mecklenburg community, or what opportunities do you plan to pursue for further impact and involvement?

0/250
What leadership programs or development opportunities have you participated in previously?
Submit a two-minute video response to your selected question.

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Please share any additional information about yourself that you believe would be relevant to your application.
File Uploads
Professional biography (500 words or less)

Include a one-page summary of your professional background, skills, and experience (500 words or less).
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Resume

Attach a copy of your resume.
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Professional photo

Attach a copy of your professional photo.
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Recommendation Letter Guide

Letters should be from an executive or C-suite leader in your company and/or someone you have worked closely with in a professional or community impact setting.
Letter of recommendation #1

Recommendation from a current/former supervisor or executive.
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Letter of recommendation #2

Recommendation from an executive or C-suite leader.
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Please confirm that you can attend all in-person program sessions.
Signature
Should be Empty:

Class of 2027 Application

Demographic Questions

Essay and Video Questions

File Uploads

Recommendation Letter Guide