NLDP Application Form – Cohort XV
NLDP Application Form – Cohort XV
Please fill out all required fields that are marked with a red asterisk.
Your Full Name
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Your Address | Including Apartment or Suite Number
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City
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State
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Zip Code
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Email Address
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Home Phone
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(###)
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Cell Phone
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(###)
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Work Phone
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(###)
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The neighborhood or suburb you reside in: (Example: St. Clair Superior – Lakewood)
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The neighborhood you are seeking to improve:
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Please answer the following questions. Limit responses to 350 words or less, with the exception of question #4, which does not have a word limit.
1. What do you seek to gain by participating in the NLDP and why are you involved in helping to make Cleveland a better community?
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2. While NLDP prefers applicants to have a project on which they are already working, it will consider accepting applicants who have well thought out projects or ideas in the initial stages of development as long as they are feasibly productive for their communities.
Describe the project that will be the focus of your work if accepted into the program. Please indicate the status of your project in terms of its development. (Example: I bring small groups of neighborhood kids together to learn about mediation. The issue of youth violence is important to me because of the escalating violence between children with little positive parental guidance in my neighborhood. I have been involved with this project for the past two years, and am planning to expand the project to reach more children.)
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3. List the neighborhood organizations and/or projects you are, or have been, actively involved in. Describe your role within the organization/project.
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4. What are your top three personal values (value being defined as a fundamental principle or standard that defines your character and community work) that guide your community engagement? Please explain.
5. What does social justice mean to you and, particularly, for historically disenfranchised communities or populations, including people of color, immigrant populations, etc.? What have you done or how would you like to achieve greater social justice in your community?
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6. How did you become aware of the Neighborhood Leadership Development Program?
Coworker
Social Media
NLDP Graduate
Associate
E-Marketing
Other
7. This person recommended that I apply. (If applicable)
Person's Name
Email
8. Have you ever participated in or are you currently participating in a leadership development program?
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Yes
No
8a. If yes, what program and when?
9. If you have a resume and/or short bio, please attach it to the application.
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10. For Residents of an Inner-Ring Suburb (Limit your response to 300 words or less): Specifically explain why you as a non-Cleveland resident should be chosen for a program dedicated to improving the leadership skills of people striving to create progress in the neighborhoods of Cleveland.
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Acceptance into NLDP is open to anyone regardless of race, religion, gender, age or level of education.
SUBMISSION DEADLINE: SUNDAY, AUGUST 14, 2022 BY 9PM
An automatic receipt will be generated upon submission and will be sent to your email address. If you do not receive this receipt please contact Julia Ferra at info@nldpcleveland.com or 216-776-6170.
Click The Submit Button Only One (1) Time. It may take 5 to 10 seconds for the form to process depending on the internet connection and the network.
