2024 Leadership Application 

Apply to join this 10-month Leadership Program for young adults (ages 22-35) with developmental disabilities in exploring how to be a leader, offered by WIHD and Volunteer New York! The program provides accommodations for various learning needs and requires participants to apply and be accepted into the program. Learn through interactive activities what it means to be a leader. LEADERSHIP topics include:  Goal Setting, Self-Awareness, Social Awareness, Self- Management, Communication Skills, Teamwork, Conflict Resolution and Building Relationships.  You will participate alongside a small group of 8-12 peers that will help you to build community while developing important leadership skills for life.  

Schedule:   This will be in-person, in Westchester NY, once a month Sept 2024- June 2025- Dates and times to be determined, with your input below. No cost to participants. We ask everyone to commit to attending all sessions in order to receive the full benefit of the program.

Who should apply?  This program provides accommodations for young adults who have a developmental disability with self-determination and have personal goals to develop leadership skills with a growth mindset and a willingness to share with and support peers in this shared journey. 

This application can be filled out in writing below or in a meeting on zoom. Select your preferred format below and we will reach out to those who select a meeting to set up an appointment. 

Participants can attend alone or with your support person if accommodations are needed. Participant's responsible for their own transportation arrangements and arranging their support person.

Please take time to read over the questions and provide thoughtful responses, whether you are submitting by form or preparing for a zoom meeting.

Please submit this form by June 30, 2024. We will be in touch to set up an interview and to confirm your acceptance into the program. Thank you!

For questions contact Patti Colombo at patti@volunteernewyork.org, or call 914-227-9312 (M-F 9 am- 4: pm) 

or Brendan Klein at bklein@wihd.org, or call 914-493-8119

If you missed the deadline or need additional time, reach out to us to see if there are openings.

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First & Last Name *
Pronouns *
Email address *
Phone number: *
What town do you live in? *
Your age *
I would like to submit my application in the following format: *
Check ALL the Days/Time that you're available to participate. Program is not guaranteed to run at time you are available. If not, you will be on list for next session. *
Monday
Wednesday
Thursday
Not available
10:00- 3:00
12:30-5:00
I will be able to commit to attending a 10-month program Sept 2024-June 2025, once dates are confirmed and I know that they fit into my schedule. *
Why do you want to be a part of a leadership program? (put Z, if answering on Zoom )
 *
Where do you imagine you would use your leadership skills after the program? (put Z, if answering on Zoom)
 *
List one reference of someone who can recommend you for the program. List name, email and relationship to you. (Parent, Comm Hab, Teacher, Case Manager, Friend, Job Coach, Employer, ...) (Put Z if answering on zoom) *
Do you have ability to have a support person attend with you, if needed, to help you with the accommodation you need? 
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Are there any accommodations we should be aware of that will help us prepare for your best learning style or for any mobility challenges. Or anything else you want to share.

Add any support person name/email that you want added to receive communications about this program. 
How did you hear about this leadership program? *
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