2021-2022 CNC Class Application
The mission of Connecting Nicollet County: CONNECTING PEOPLE, CREATING AWARENESS AND BUILDING LEADERSHIP THROUGHOUT NICOLLET COUNTY

All applications will have a $450 tuition rate. Tuition is due either prior to or at the first session in September. Payment plans can be arranged if needed. Tuition assistance is available. Applications are due June 15th, 2021.

*Please note that actual program costs total over $1,100, but thanks to generous donations, CNC is able to keep tuition costs low.

Applicants must be able to commit to 7 of the 9 sessions in order to participate in graduation.

Sessions are held the second Thursday of each month - September through May. More information can be found on our website at www.connectingnicolletcounty.com 

Please note that if COVID-19 regulations change, some sessions may move virtually. The board will continue to use caution and their best judgment as COVID-19 information changes regularly.

All participants will be notified in July of their status in the program. If you have questions, please contact cncpcoordinator@gmail.com 

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First Name *
Last Name *
Mailing Address *
City *
State *
Zip *
Personal Email (NOT WORK EMAIL) *
Work email (if applicable)
Cell Phone (XXX-XXX-XXXX) *
Employer Name *
Your Job Title *
Employer Mailing Address (include City, State & Zip) *
Supervisor Name *
Supervisor Email *
Age Bracket
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Please list your hometown and state *
Please list your current community involvement and any leadership roles held *
What are you hoping to gain from your time in Connecting Nicollet County? *
Please list any hobbies or relevant experience you would like to share
By checking this box, you agree to having your name published on our website, social media, and other public media for marketing and communications purposes. *
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Tuition assistance is available on a case by case basis. Participants are expected to pay a % of tuition. Do you need tuition assistance? *
Required
If requesting tuition assistance, please provide a brief explanation explaining your financial need.
Please list any medical conditions, allergies or food preferences we would need to be aware of if participating in the program. If none, just put none. *
Emergency Contact (First and last name, relationship and phone number) *
By checking this box, I understand that submission of this application does not guarantee acceptance into this program. I also understand the expectation to attend 7 of the 9 scheduled sessions in order to participate in graduation. I also understand there is a financial obligation of $450 that is to be paid before or at the first session. *
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Please type your full name below. Your typed name will serve as electronic signature of this form. *
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