Leadership Program Application

Thank you for your interest in Western Connecticut Leadership – applications for the Fall 2017 eight-day program are now available! Applications will be accepted on a rolling basis until all seats are filled. If you have any questions, please contact Connecticut Community Foundation at 203.753.1315 x 130 or email: leaders@conncf.org

Western Connecticut Leadership Application

Please create a password for your application when prompted below. If you do not complete your application in one sitting, you may log in and return to edit the application before submitting a final version. Your username and password will be emailed to the email address you enter. If accepted in the program, your username and password will allow you to review and edit your directory profile information.

Please enter a password (up to 10 characters). Your user name and password will be emailed to you.
Drop a file here or click to upload Choose File
Maximum upload size: 67.11MB

Contact Information

Alternate Contact Information

About You

Please share what motivated you to apply.

Education History

Please list your top three degrees from an accredited college or university.

Career History

Please share the three most recent positions you have held.

Current and Past Civic/Community Involvement

Other relevant information

Name
We do not want cost to be a barrier for participation. You will be contacted with more information, if you are interested in aid.

Application Submission