Wednesday, April 11, 2012

Opportunity: Congressional Leadership Program

The Indiana 9th Congressional District is Bloomington/Monroe County and the southeastern part of the state.

IN-9        
Congressional Leadership Program

                    







June 11th – August 6th, 2012


Introduction to the Congressional Leadership Program



The Congressional Leadership Program (CLP) introduces college and graduate students to their region and develops their leadership skills so they can effectively serve their community.  CLP’s sessions are designed to help a diverse group of high-achieving college and graduate students learn more about the strengths and challenges of their community and how they might live a life engaged in addressing those issues.



Applicants should be residents of or attending college or graduate school in the Ninth Congressional District.  CLP class size is limited, so the application process is competitive.  Priority consideration will be given to those who apply by May 1st, 2012.  Applicants must attend at least four out of five sessions to successfully complete the program.



If you have any questions, please contact our Jeffersonville Office at 812-288-3999.



Planned Schedule for 2012

(Locations are subject to change)



Monday, June 11th; 9:00 a.m. – 5:00 p.m.                 Rural Indiana

                                                        Scottsburg



Monday, June 25th; 9:00 a.m. – 5:00 p.m.                 Local Government

                                                        Bloomington



Monday, July 9th; 9:00 a.m. – 5:00 p.m.                  Economic Development

                                                        Jeffersonville



Monday, July 23rd; 9:00 a.m. – 5:00 p.m.                 State Government

                                                        Indianapolis



Monday, August 6th; 5:00 p.m. – 8:00 p.m.        Charge to Lead



Copy and paste the application below into a Word document to send to the address at the bottom:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

Congressional Leadership Program

Application



Name: ___________________________________              Date: _______________________



Name to appear on certificate/diploma: __________________________________________





Contact Information:



Permanent Address:      ________________________________________________________

                        ________________________________________________________

Cell Phone:             ________________________________________________________

School E-Mail    ________________________________________________________

Personal E-Mail  ________________________________________________________

Parents’ Names  ________________________________________________________

       

Personal Information:



Name of College or University:  ________________________________________________

Major:  ______________________________  Current G.P.A.   ___________________   

Grade Level(upcoming semester):  (   )Freshman  (   )Sophomore  (   )Junior  (   )Senior  (   )Graduate



Please List Two References:



Name: _______________________________    Relation to you: _______________________

Address: ____________________________________________________________________

Phone:  _____________________________________________________________________



Name: _______________________________    Relation to you: _______________________

Address: ____________________________________________________________________

Phone:  _____________________________________________________________________



Additional Requirements:



1.      Please attach a resume to the application.



Signature ___________________________________   Date _________________



Please complete the application and return it to:

The Honorable Todd Young

Attn: Congressional Leadership Program

279 Quartermaster Court

Jeffersonville, IN 47130


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