Board Academy Application

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Personal Information

Name*

First Last

Phone*

Email*

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employment Information (if applicable)

Current Employer

Job Title

Organizations and Activities

Why are you applying for this opportunity? What do you hope to learn?*

What skills do you wish to develop?*

In what ways do you see your background and personal experience contributing to the diversity of perspectives in the Board Academy cohort and your future board service?*

How do you anticipate using the knowledge and skills gained?*

On what boards or committees (if any) have you served?

Have you served in any other volunteer capacities?

Describe your favorite community/volunteer involvements.

How did you learn about this program?*

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File

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References

First Reference Name*

First Last

Organization*

Telephone*

Relationship*

Second Reference Name*

First Last

Organization*

Telephone*

Relationship*

Applicant Agreement

I understand that CNE's Board Academy Board Academy requires 42 hours of class-time over 16 weeks in the form of two full-day workshops, seven 2-hour evening workshops, and 6 mock board meetings, as well as preparatory reading and an independent project. Absent unusual circumstances, attendance at all of the sessions is required to complete the Academy.*

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Tuition

If selected, participants understand that tuition is $1,600 (if representing a CNE member organization) or $2,500 (for those sponsored by a non-member organization). Those applicants who apply individually and are accepted will receive a one-year membership to CNE. CNE is committed to ensuring that those qualified to join the Academy can participate. To that end, tuition may be paid in installments and CNE recruits sponsors each year to underwrite partial Academy scholarships for those in need. Requests for scholarship assistance will be considered on a case-by-case basis after final selection of participants has been made. Please indicate your plan for payment:

Tuition will be paid by…*

Or enter other:

Employer/Organization Agreement

If your application is sponsored by your employer or an organization, please verify that the employer or organization intends to provide you with the necessary support, including financial assistance and leave time, as applicable.

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Comments

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