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?

Spring 2024 (February 1 – April 30)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?

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

Tell us about Your Educational Background:

Undergraduate College/University

Undergraduate Graduation year

Undergraduate Major

Post Graduate School

Post Graduate Graduation Year

Activities Outside the Classroom

Employment and Areas of Interest:

Leadership and Strengths:

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, has The Policy Circle prompted you to sign up for other leadership development programs?

YesNo

Name of Program:

Has The Policy Circle prompted you to assume a new role or a position on a board?

YesNo

Name of Role or Position:

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:

Are there any references you’d like us to contact if we need more information to review your application?

Please add a short bio below:

How did you hear about the CLER program?

If you are being sponsored to take part in CLER, please indicate the individual who is sponsoring you:

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:
I attest that I align with The Policy Circle Philosophy and agree to the Membership Agreement, Core Principles and Terms of Use as stated on The Policy Circle website.

AgreeDisagree