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CELA'18 Academy Application
Salutation
MS
MR
MX
First name*
Last name*
Are you a close relative of a CELA member?
No
Yes
Who will pay your $3,000 participation fee?*
Myself
My Organization
Other (specify)
Current position/title*
Workplace name*
Size of organization/team you manage (if applicable)
Date of Birth*
Citizenship*
Where are you living currently?
Preferred mailing address
Home
Company
Institution
Country
City
Street NO
Postal Code
Phone
Mobile*
Preferred Email*
Other Email
How did you find out about CELA?*
Have you applied to CELA before? If Yes, when?*
Have you faced situations where you felt that you genuinely exercised leadership and what you did? (Maximum 200 words)*
What do you hope to gain from attending the Leadership Academy? (Maximum 100 words)*
How can your peers in the CELA Leadership Academy benefit from your participation? (Maximum 100 words)*
How do you see yourself contributing to CELA network back home upon your participation in the Leadership Academy? (Maximum 100 words)*
Tell us one surprising fact about yourself (Maximum 50 words)*
Will you be able to attend all 10 days of the Leadership Academy?*
Add your CV and any other background material (in 1 file) you would like to share with the Selection Committee.
Submit
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