CAEP Consortium Leadership Academy - California Adult Education Program

CAEP Consortium
Leadership Academy

Enrollment Application

The CAEP Consortium Leadership Academy (CLA) is a new program the CAEP Office and CAEP TAP created to build the capacity of consortia leads, directors, and co-chairs to effectively lead their consortium through a student-centered leadership approach.

To see this form in your language use the "Select Language" button in the top-right of the page and make your choice.

* indicates required fields

Applicant Information

Full Name

First Name *

Last Name *

Job Title *

Mailing Address

Street Address *

Apartment/Unit #

City *

State *

Zip Code *

Preferred Email *

Preferred Phone # *

How long have you been a consortium lead? *

Consortium Information

Consortium Name *

Website *

Location

Street Address *

Unit #

City *

State *

Zip Code *

How many members are in your consortium? *

Personal Statement

In the space provided below, please craft statements addressing the following five questions:

1. Why are you interested in participating in the Consortium Leadership Academy (CLA)? *

Characters left: 1000

2. Please describe your leadership experience, including any professional credentials obtained. *

Characters left: 1000

3. Have you ever participated in previous leadership-based training, personal learning, or mentoring? If so, which one(s)? *

Characters left: 1000

4. What are your primary needs and or challenges at this time or which modules from the course outline are you the most interested in? Why? *

Characters left: 1000

5. What outcomes do you hope to achieve by participating in the CLA? *

Characters left: 1000

6. Are there any supports you believe you will need in order to be successful in the academy? *

Characters left: 1000

I understand and agree that if I am selected to participate in the CAEP Consortium Leadership Academy, I am required to attend and participate in all mandatory CLA meetings and functions and to complete all assignments to earn the CLA Certificate of Completion. *