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Policy & Initiatives
Events & Circles
Leadership Programs
Our Community

Who We Are
Our Why
Our Impact
Our Partners

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CIVIC LEADERSHIP ENGAGEMENT ROADMAP (CLER) APPLICATION

CLER is an investment in your personal knowledge, civic leadership, and the development of key relationships in your community. To learn more about the CLER program, click here.

Once your application is submitted, it will be reviewed to ensure that CLER is the right fit for your leadership interests. If you have completed CLER 1.0 and would like to use the same application for CLER: Education, please provide any updates and submit your application.

First, Select Your Program:

Which CLER program are you applying for today?

Next, Select a CLER Session:

Which CLER Cohort do you prefer?

First Name

Last Name

Email Address

Mobile Phone

Street

City

State

Zip Code

Date of Birth (MM/DD/YYYY)

LinkedIn Profile

Twitter Account

Tell us about Your Educational Background:

Trade School

Undergraduate College/University

Undergraduate Graduation year

Undergraduate Major

Post Graduate School

Post Graduate Graduation Year

Employment and Areas of Interest:

Industry/sector in which you are currently employed

Position Title

Current Employer

Tell us more about your job

Please share your areas of interest:

Civics & DemocracyCommunityEconomic GrowthEducationEnergy & The EnvironmentHealthcarePoverty & OpportunityTaxation & Government SpendingUS & The WorldForeign PolicyHousingMental Health

List community organizations in which you are involved

Tell us about your role in working for and/or volunteering with organizations in your community.

Leadership and Strengths:

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 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.

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

YesNo

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

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

YesNo

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

Please list the name and contact person who referred you to this program.

Please add a short bio below:

Please attach your resume

Please provide the URL if you have a link to your digital resume.

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.

Participation/ Payment Details:

The nonrefundable program fee to participate in each CLER course is $300. Please select how you plan to secure your participation:

I agree to pay the $300 program fee if accepted.I plan to apply for an Award/grant to allow me to participate.I am being sponsored by a member of TPC or a partner organization.

If you have been sponsored, name The Policy Circle member or the organization

Application and Membership Agreement:
By checking this box, I agree with The Policy Circle’s values of championing free market principles, entrepreneurship, and personal agency.

AgreeDisagree

I give permission for The Policy Circle to share my name and likeness on their platforms to highlight and celebrate civic impact and engagement.

YesNo

ABOUT

The Policy Circle is a national, non-partisan 501c3 that informs, equips, and connects women to be more impactful citizens.

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