Civic Leadership Engagement Roadmap (CLER) Application

First, Select Your Program:

Which CLER program are you applying for today?

CLER 1.0: Founding Principles & Local GovernmentCLER: Education

Next, Select a CLER Session:

Which CLER 1.0 or CLER: Education cohort do you prefer?

Summer 2024 (June 1 – August 31)Fall 2024 (September 1 – November 30)

Complete Your Contact Information:

First Name

Last Name

Email Address

Mobile Phone

Street

City

State

Zip Code

Date of Birth (MM/DD/YYYY)

Are you a member of the Veterans, Active Duty or Military Spouse Community?

Are you an entrepreneur, small business owner, or start-up business leader?

Please list your business and the role you serve in as a leader:

If yes, please explain your service in the Veterans, Active Duty or Military Spouse Community.

Tell us about Your Educational Background:

Trade School

Undergraduate College/University

Undergraduate Graduation year

Undergraduate Major

Post Graduate School

Post Graduate Graduation Year

Extracurricular

List groups you are involved with outside of work or school

Please list activities you are involved in or enjoy

Employment and Areas of Interest:

Industry/sector in which you are currently employed

Current Employer

Position Title

Tell us more about your job

Leadership and Strengths:

The Policy Circle believes in free market principles, limited government and personal agency. Do you agree with our core fundamentals?

YesNo

If not, what don’t you agree with?

The Policy Circle’s mission is to inform, equip, and connect women to be more impactful citizens. What are your thoughts on our mission, and how does it resonate with you?

What’s one strength you wish you had, and what have you done to develop it?

What do you hope to accomplish during this program?

Describe your leadership philosophy. What are you currently doing to develop it?

Other than CLER, are you currently involved in any other leadership development programs?

YesNo

Name of Program:

If not currently enrolled in any other leadership programs, please specify any you have completed in the past.

Often the right decision for an organization, community, state or even nation may be the least popular for the decision-maker. Name an instance where you have seen this in action (whether it be yourself or something you observed others doing), the outcome, and what you learned from that experience.

References and General Information:

How did you hear about the CLER program?

Have you been sponsored by a member of The Policy Circle or an organization that partners with TPC?

YesNo

Name of The Policy Circle member or organization

Please add a short bio below:

Please provide 2-3 references for us to contact for consideration of participation in this program. Please include their email and phone number.

Headshot and Application Agreement:

Please include a headshot or photo, which may be used to publicly celebrate your participation in the CLER Program. By providing your headshot, you are agreeing to allow The Policy Circle to publicly share your participation in this program.

Application and Membership Agreement:
By checking this box, I agree to the Membership Agreement, Core Principles and Terms of Use as stated on The Policy Circle website.

AgreeDisagree