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Sojourn Leadership Academy Application
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I will need to complete a scholarship application
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I want to be paired with a Circle of Influence (past Women of Influence) honoree mentor.
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Virgin Islands, U.S.
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Western Sahara
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Country
Home Address
Street Address
Address Line 2
City
State / Province / Region
ZIP / Postal Code
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bonaire, Sint Eustatius and Saba
Bosnia and Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos Islands
Colombia
Comoros
Congo
Congo, Democratic Republic of the
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d'Ivoire
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard Island and McDonald Islands
Holy See
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Korea, Democratic People's Republic of
Korea, Republic of
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Macedonia
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestine, State of
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn
Poland
Portugal
Puerto Rico
Qatar
Romania
Russian Federation
Rwanda
Réunion
Saint Barthélemy
Saint Helena, Ascension and Tristan da Cunha
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia and the South Sandwich Islands
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard and Jan Mayen
Sweden
Switzerland
Syria Arab Republic
Taiwan
Tajikistan
Tanzania, the United Republic of
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkmenistan
Turks and Caicos Islands
Tuvalu
Türkiye
US Minor Outlying Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Venezuela
Viet Nam
Virgin Islands, British
Virgin Islands, U.S.
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
Country
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Home or Mobile Phone
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Asian
Black or African-American
Caucasian
Hispanic
Native American
Other
DESCRIBE YOUR COMMITMENT TO THE YWCA MISSION OF ELIMINATING RACISM AND EMPOWERING WOMEN.
HOW WOULD JOINING THE SOJOURN LEADERSHIP ACADEMY BENEFIT YOU AND YOUR COMMUNITY?
LIST THREE EXPECTATIONS THAT YOU WOULD HAVE FOR THIS PROGRAM:
DESCRIBE THE MOST SIGNIFICANT LEADERSHIP OPPORTUNITY YOU HAVE HAD TO DATE.
WHAT CAUSES ARE YOU PASSIONATE ABOUT? HOW WILL YOU LEVERAGE THE INFORMATION, RELATIONSHIPS, AND EXPERIENCE YOU GAIN FROM SOJOURN INTO COLLECTIVE ACTION?
WHAT IS THE BIGGEST CHALLENGE FACING OUR COMMUNITY TODAY?
WHAT IS YOUR BIGGEST STRENGTH? WHAT DO YOU NEED TO WORK ON?
IS THERE ANYTHING ELSE YOU WOULD LIKE THE COMMITTEE TO KNOW IN CONSIDERING YOUR APPLICATION?
CONFIRMATION OF INTENT
*
I understand and agree to the YWCA Dayton Sojourn Leadership Academy participant requirements and, if chosen to participate, commit to doing my best to achieve them.
Graduates of Sojourn Leadership Academy receive a Board and Equity Leader Certificate and are added to the YWCA Dayton Board Registry once they complete the following:
--Attend ALL class sessions and opening/closing events
--Observe a nonprofit organization's regularly-scheduled board meeting and submit a completed Board Observation Form
--Complete and submit an Equity Leader Action Plan
Tuition for Sojourn Leadership Academy is $1,500 and is due in full one month prior to a cohort's opening session. It is nonrefundable after the program's first session. If extenuating circumstances necessitate program withdrawal, refunds (either partial or in full) will be considered by YWCA Dayton leadership on a case-by-case basis, but are not guaranteed.
Please upload a copy of your resume.
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Please upload a current headshot.
Max. file size: 2 MB.