NLDP COHORT XIX 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
The neighborhood or inner-ring suburb you reside in: (Example: St. Clair Superior, Lakewood)
*
The neighborhood(s) you are seeking to improve:
*
What do you seek to gain by participating in NLDP and why are you involved in helping to make Cleveland a better community?
*
While NLDP prefers applicants to have a project they are already working on, it will consider accepting applicants who have well thought out projects or ideas in the initial stages of development as long as they are feasibly productive for their communities. Describe the project that will be the focus of your work if accepted into the program. Please indicate the status of your project in terms of its development.
*
(Example: I bring small groups of neighborhood kids together to learn about mediation. The issue of youth violence is important to me because of the escalating violence between children with little positive parental guidance in my neighborhood. I have been involved with this project for the past two years, and am planning to expand the project to reach more children.)
List the neighborhood organizations and/or projects you are, or have been, actively involved in. Describe your role within the organization/project.
*
What are your top three personal values (value being defined as a fundamental principle or standard that defines your character and community work) that guide your community engagement? Please explain.
*
Value: A fundamental principle or standard that defines your character and community work.
What does social justice mean to you and, particularly, for historically disenfranchised communities or populations, including people of color, immigrant populations, etc.? What have you done or how would you like to achieve greater social justice in your community?
*
How did you become aware of the Neighborhood Leadership Development Program?
*
Coworker
Associate
NLDP Graduate
Social Media
E-marketing
Other
This person recommended that I apply (if applicable).
First Name
Last Name
Have you ever participated in or are you currently participating in a leadership development program?
*
Yes
No
If yes, what program and when?
*For residents of inner-ring suburbs only: Specifically explain why you as a non-Cleveland resident should be chosen for a program dedicated to improving the leadership skills of people striving to create progress in the neighborhoods of Cleveland.
*
*If you are a resident of Cleveland, simply enter "N/A"
If you have a resume or short bio, please attach it here.
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Submit
Should be Empty: