CDCLP COHORT VI APPLICATION
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
CDC/Nonprofit Organization
*
Title
*
The neighborhood(s) or City you serve (i.e., St. Clair Superior, Lakewood):
*
Tell us why you are in the CDC profession?
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Why are you motivated to apply to CDCLP?
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Have you ever participated in a leadership development program? What are you hoping would set CDCLP apart from other leadership program experiences?
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What are your top three personal values that guide your community engagement? Please explain.
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What do you think is the difference between a mentor and a coach?
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What does social justice mean to you - particularly, for historically disenfranchised communities or populations, including people of color, immigrant populations, etc.? What have you or your CDC/non-profit organization done or would like to do in order to achieve greater social justice in the neighborhoods you serve?
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How did you become aware of the CDC Leadership Program?
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Coworker
Associate
CDCLP Graduate
Social Media
E-marketing
Other
This person recommended that I apply (if applicable).
First Name
Last Name
Please attach your resume.
*
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