Clone of ELI Application Form, 2025

2026 | Emerging Leaders Institute (ELI) Application

Deadline to submit the application is March 27, 2026
Name*

First NameLast Name
Work Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Work Email*
example@example.com
Phone Number*
Seminar Attendance & Fee
Please click box to agree.*

The cost of the seminars is covered in the program fee of $495 which also includes registration to the 2026 NYSCAA Annual Conference, September 15-18 in Niagara Falls.
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 2026.
Supervisor's Name

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

Cancelof
Should be Empty:

2026 | Emerging Leaders Institute (ELI) Application