ABPA’S Emerging Leader Program-2018

ABPA’S 2018 Emerging Leader Program
Program Eligibility Requirements:
- Must be 21 years or older
- Must be of an Arab descent
- Must live in Chicago, metro area, Cook, DuPage, Lake or Will Counties
- Must answer questions on application clearly describing what your initiative is for the ABPA Emerging Leader Program.
- Provide 2 professional references
- Provide Resume
Name *

First Name Last Name
E-mail *
Phone Number *

- Area Code Phone Number

Home Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Age *
Current Occupation *

Work Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Work Website *
Professional Organizations
List group or organization you are currently involved with.

Discuss your duties and accomplishments in each of the organizations you volunteered for
Name Of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
List past group or organization you participated with
Name of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
Name of Organization
Position
Brief description of duties
Awards & Recognitions

List past awards, recognitions, or achievements you have accomplished during your professional career
Award or Recognition Name
Year Received
Award or Recognition Name
Year Received
Award or Recognition Name
Year Received
Award or Recognition Name
Year Received
Emerging Leader Program Initiatives
There are 2 initiatives to choose from for the Emerging Leader Program

One time initiative - You will implement and execute during the calendar year of May 2018 through March 2019.

Long term initiative- An ongoing program that will occur on a yearly basis. If your initiative is successful the first year, you will go through a selection process to become a board member and continue to develop and grow your program past your one-year commitment in the emerging leader program.
Based on the descriptions for the one-time initiative and long-term initiative, which one best fits your concept?
*

One time Initiative Long term initiative
Please describe your initiative and best explain why you believe this will be a great benefit to the Arab community and beyond the Arab Community (1000 words or less)
Description *
Professional References

Please list two professional references (Must not be family members)
Reference #1
Reference Name *

First Name Last Name
Reference E-mail *
Reference Phone Number *

- Area Code Phone Number
Reference Job Title *
Reference #2
Reference Name *

First Name Last Name
Reference E-mail *
Reference Phone Number *

- Area Code Phone Number
Reference Job Title *
Resume

Please upload your resume
Upload your resume *

ABPA’S 2018 Emerging Leader Program

Professional Organizations

Awards & Recognitions

Emerging Leader Program Initiatives

Professional References

Resume