Departments

Emerging Leaders Application

If you are interested in participating in the 2012 East Lansing Emerging Leaders Program, please complete the application below by January 25, 2013.

Name
Address
Phone Numbers
Home	Work	Cell/Other
Email
Employer
Eligibility: Please check the appropriate boxes East Lansing Resident18 or Older
*Applicants that are currently serving in an elected position or running for an elected position are not eligible Please answer the following questions to the best of your ability. Limit your answers to the space provided.
Provided your personal situation remains consistent, what are your plans for future residency?
Why do you want to participate in the East Lansing Emerging Leaders Program?
What would you like to gain from participation in the East Lansing Emerging Leaders Program?
If there are any issues that might preclude you from contributing 25 hours over a 6 week timeframe to this program, please describe them below.
If you will need any special accommodations to ensure your full participation in the Emerging Leaders Program please indicate what those are.
Optional Questions: To assist in ensuring participant diversity, please check all that apply: MaleFemaleStudent
Please provide your race/ethnicity (optional):
Please Select Your Age Range 18-2425-3536-5051+




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