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"CITIZENSHIP IN A UNITED MAINE"
Leadership Academy II
Application
September 9-13, 2010
Civic Center Holiday Inn, Augusta
Name:
Address:
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People participating in Leadership Academy II (LA#II) have several things in common. They are consumer/survivors/ex-patients (CSX) who, since graduating from Leadership Academy I (LA#I), have put into practice the skills learned there. They have been involved in numerous ways in the consumer movement in our state. LA#I graduates are now ready to gain additional education, new skills, sharpen old skills and move as strong leaders throughout Maine.
1. Since graduating from LA#I please describe where and how you have been involved as a consumer leader.
2. Please write an essay (one full page minimum) of 1.) why you believe collective consumer voice is important; 2.) what leadership role do you see yourself taking; 3.) what do you hope to accomplish; and 4.) your ideas of how you might accomplish these goals.
3. This training is over a four-day period. Can you commit to that time?
4. Do you have any special accommodations or dietary needs? Please explain.
5. Do you mind sharing a room with a person of the same gender?
6. Is there anything else you would like to share with us?
Security Question: What state are we in?

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