Registration Form

Community Leadership Institute: Leadership in a System Change Environment - A Program of The Center for Community Leadership

Submitting Your Registration Form:

Please complete and submit your registration form on-line. Provide your contact information as you wish it to appear on the participant roster (no acronyms, please).

Please mail registration form and tuition to:

Community Leadership Institute
C/O Center for Community Leadership
P.O. Box 3069
Burlington, VT 05408-3069

Cost: Regular Fee $695, Groups of four or more $595 per registrant.

Leadership Seminars: $195

Registration is guaranteed once payment is received and credited.

Information

Community Leadership Institute

Leadership Seminars:
Culture and Diversity in Leadership
Leadership - Policy Development and Sustaining Change
The Science and Art of Grant Writing for Leaders

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Special Assistance Requirements: Please tell us if you have any needs requiring specific aids or services, such as wheelchair accessibility or dietary restrictions.

How did you hear about the Community Leadership Institute?

What do you expect to gain from attending the Community Leadership Institute?

Please send information about the Institute to the following interested colleagues.

Would you be interested in receiving the Center for Community
Leadership quarterly newsletter (The Leaders’ Edge Advisor)?

All information obtained on this registration form will be used solely for the purposes of the Community Leadership Institute and its parent organization the Center for Community Leadership and will not be sold or used by any outside individual or organization.

*5% of before tax dollars will go to support the Family Cafe, Inc. (http://www.familycafe.net/) and Wakanyeja Pawicayapi, Inc. (http://www.wakanyeja.org)