HELC Fall 2025 Application
Contact Information
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Employment Information
Name of Current Employer:
*
Website
*
Industry (Energy, Professional Services, Manufacturing, Logistics, etc.)
*
Job Title/Position:
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Years of Experience
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Interest In The Program
Why are you interested in participating in the Houston Energy Leadership Cohort?
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Why do you believe a program like Houston Energy Leadership Cohort is important?
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What specific knowledge or skills do you hope to gain from this program?
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How do you envision applying what you learn to your professional environment?
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Additional Information
How did you learn about the Houston Energy Leadership Cohort?
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Did a company or person refer you? If so, who?
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Please share any accommodations needed for your successful participation in and completion of this program. (e.g. dietary restrictions or allergies, accessibility requirements)
*
If selected for the cohort, do you or your company have the financial resources to cover the cost of tuition? If yes, please provide a point of contact and their contact information.
*
Please provide two professional references.
Reference 1
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First Name
Last Name
Reference 1 Employer:
*
Reference 1 Title
Reference 1 Email
*
example@example.com
Reference 1 Phone Number
*
Please enter a valid phone number.
Reference 2
*
First Name
Last Name
Reference 2 Employer:
*
Reference 2 Title
Reference 2 Email
*
example@example.com
Reference 2 Phone Number
*
Please enter a valid phone number.
Please upload your resume.
*
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If accepted:
I understand that a one-time non-refundable program tuition payment of $7,000 is due upon acceptance to the Houston Energy Leadership Cohort.
I understand that through my participation of this program, pictures, video or other media may be collected chronicling the cohort’s experience.
I understand that my name, title, company and likeness could be used in future Partnership and cohort materials for the purpose of documenting, marketing, or otherwise communicating about this program.
I commit to attending and completing coursework for a minimum of 7 sessions for successful completion of this program.
Signature
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Date
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Please verify that you are human
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