Jefferson Civic Leadership Application
Click HERE to view our Jefferson Civic Leadership Academy brochure!
Click HERE to view the adapted 2021 schedule.

 

Personal Information

Work History

List most recent and relevant work experience(s) and position(s) held:


I am currently employed here

Educational Background

List educational background, beginning with high school, including any college(s), advanced degrees and/or specific training.

Involvement in Civic and Volunteer Activities:

What led you to apply for admission to the Civic Leadership Academy?

0/500 words.

WHAT LED YOU TO APPLY FOR ADMISSION TO THE RAIMY FELLOWSHIP PROGRAM?

0/500 words.

References: