NCPN Leadership Development Academy (LDA)
November 2017 - October 2018


If questions about LDA, contact Debbie Mills, NCPN Director (dmills@cord.org) or
Jeraline Johnson, NCPN Leadership Development Committee Chairperson (jeraline.johnson@palmbeachschools.org)

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Application Form

Fields marked with  * are required.

First Name*
Last Name*
Nickname*
Job Title*
Organization*
 
Address 1*
Address 2
City*
State*
 
Zip*
Country*
Phone*
   Extension
Fax
Email*
 

*Select the area that best
describes your work:

K-12
Postsecondary
Adult Education
Workforce Development
Other  

Subcategory (if applicable)

CTE Faculty
Academic Faculty
Counselor/Advisor
Local/Regional Administrator/Coordinator
State Federal Administrator/Coordinator
Other   

*Rate your understanding

On a scale of 1-10 (with 1 being the least understanding)
rate your understanding of a career pathways system (traditional student and
adults that need a second chance at education):

*Briefly list your experience with career pathways.

*Please check which criteria
you will be using to attend the year-long academy:

Attend the 2017 NCPN Indianapolis Preconference Institute
(any choice of the preconference institutes) OR

Be a past graduate of the Career Pathways Leadership
2-day Workshop OR

Have a signed waiver from the NCPN Director Deb Mills (dmills@cord.org)

*Please click BOTH buttons to show you understand that you will be required:

To participate on monthly conference calls and scheduled webinars with follow up activites

To attend the 2018 NCPN conference in Louisville October 10-12

You will receive a confirmation page once you hit the 'Submit' button and a copy of your submission by email.

All applications will be reviewed by a review team and applicants will be notified by November 10, 2017.

If your application is selected, you will be invoiced for the $600 fee and sent more instructions.

 

Fields marked with  * are required.