Transformational Leadership Program APPLICATION

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THANK YOU for your interest in the Capacity Building Partnerships' Transformational Leadership Program. We are excited to support your leadership!

IMPORTANT DEADLINE AND FEE INFORMATION
Final Deadline to apply is September 22, 2022. All payments are due by September 29, 2022.

DISCOUNTS
Receive a $500 Early Bird Discount if application is received by September 1 and payment (or arrangement) is made by September 9, 2022. Discount good for up to two participants per organization.
If your organization is sending more than two participants, please contact us regarding fees.

You will receive an email notice of acceptance and an invoice after submitting your application. You will have the option to pay by check or ACH.

If you have challenges meeting the payment deadline or any other questions, please contact Tere Mathern at terem@capacitypartnerships. If we do not hear from you, we may fill your slot with somebody on the waiting list.

Please fill out all parts of this application.
Thank you!
The Capacity Building Partnerships

Email *

Organization Name *

Street Address or PO Box (the DEI Reference Handbook will be mailed to this address) *

City *

State *

Zip *

Participant First Name *

Participant Last Name *

Phone *

Is there more than one person from your organization applying? *

Yes

If yes, please provide the name of the other participant (s).

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