APPLICATION

2019-2020 CIVICO LEADERSHIP ACADEMY

**Applications are due Friday, June 28, 2019

CiviCO Leadership Academy Eligibility:

  • Rising talent or high potential community leader in the private, public or social sector

    • Example leaders include: Head of a business unit, VP or entrepreneur (private); city manager or elected official (public), or nonprofit executive team member or foundation leader (social)

  • Proven track record of professional success

  • Be actively engaged in the community through volunteerism and/or board membership

  • Hold peer commendations and endorsements

Key Dates:

  • Kick-off Retreat: September 19-21, 2019

  • Local Leadership Huddles: Third Thursday of the month in October, December, February, and April

  • Statewide Leadership Huddles: Third Thursday of the month in November, January, and March

  • Closing Retreat: May 2020

Please complete the Application form below

Are you a CiviCO Member? *
APPLICANT INFORMATION
Name *
Name
Address *
Address
Phone *
Phone
DEMOGRAPHICS (optional)
All questions in this section are OPTIONAL. Candidates are selected based on their merits and their ability to add to the diversity (including geography, company type, ethnicity and gender) and contribution to richness of the cohort. This information is strictly for internal use, and will not be publicly shared.
APPLICATION QUESTIONS
(non-profit, public service, etc.)
Name of CEO or Chair
Name of CEO or Chair
http://
Full participation is critical for this program. Are you willing and able to commit to two in-person retreats, 90-120 minutes of online learning per week, a monthly Leadership Huddle, and some additional group work between September 2019 and May 2020? Please note, participants may not miss more than one Leadership Huddle.
Please check here if you would like consideration for financial assistane.
DIRECTIONS: To upload your resume, click 'Upload Your Resume' and a Dropbox dialogue box will appear. Find the file on your computer and press upload. You will receive an email from Dropbox confirming receipt. Before upload, please re-name file to include your first and last name. Ex:jane-doe-resume.pdf