CCLC Membership Application Form

CCA Leadership Class Application

The mission of the Catholic Charities Atlanta Leadership Program is to help Catholic men and women grow spiritually and professionally as servant leaders through educational events, service opportunities, networking, mentoring and fundraising with Catholic Charities Atlanta.
Instructions:

For more information please visit our website: https://catholiccharitiesatlanta.org/leadership-class/

Or take a look at our program flyer: https://catholiccharitiesatlanta.org/wp-content/uploads/leadership-class-flyer-9.pdf

Submit this form and send your resume along to Cassidy Starzec: cstarzec@ccatlanta.org

Please note that the application process includes submission of the application below and an interview with a CCA Leadership Class Advisory Board member.
Salutation*
Name*

First NameLast Name
Job Title*
Company Name*
Spouse Name (If Applicable)

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
Please note that email will be the primary form of communication between yourself and CCA, so please submit the email address that you access most frequently.
Cell Phone *

Area CodePhone Number
LinkedIn URL
What parish or church do you attend?
Date of birth

MonthDayYear
Why do you feel you would be a good candidate for the Leadership Class?
What are your expectations for the Leadership Class?
Describe yourself using FIVE adjectives or phrases.
Describe your interests outside of work.
Describe your family life.
Describe where you are in your spiritual journey.
What are you looking for in a mentor?
In which areas are you most interested in being mentored on? (Check all that apply.)

Engaging in the ChurchIntegrating Faith and WorkExperience of Being Catholic in a Secular WorldServant LeadershipWork/Life BalanceManaging/Developing PeopleBuilding Executive PresenceInfluencing OthersCorporate Politics/Corporate CulturePersonal Spiritual PathNetworkingOther
If you picked "Other" above, please describe.
Please list professional, social, and charitable organizations that you are involved in. (This information will help us match you with a mentor of similar interests.)
Please write or include a short bio to be included in class materials. (We are happy to write one for you if you would just list specific bulleted pieces of information that you would like us to include.)
Applicant Agreement & Commitment Requirements

I understand the purposes of the Catholic Charities Atlanta Leadership Class and, if selected, will devote the time and resources necessary to complete the program.
I understand that this commitment includes:

I will participate in all class events, including a Saturday retreat in SeptemberI will participate in at least one volunteer activity or service project benefiting CCAI will fundraise $1,500 for Catholic Charities AtlantaIf accepted to the program, I will submit a $150 registration fee, which will help cover initial program costs and materials. I understand that the $150 fee will go towards my overall fundraising goal.
Signature date*
Signature*
For more information, please contact Cassidy Starzec: 404-920-7765 or cstarzec@ccatlanta.org
E-mail
E-mail
Should be Empty:

CCA Leadership Class Application