Skip to content
Home
Contact Us
Home
Resources
Programs
Publications
AIN
Other
In-State Resources
National Resources
International Resources
Peer Initiatives
Leglislative
Webcasts
Peer Support
Forum
Calendar
About Us
Who We Are
Consumer Systems
Contact Us
Site Tools
You are here:
Home
Leadership Academy II
"CITIZENSHIP IN A UNITED MAINE"
Leadership Academy II
Application
September 9-13, 2010
Civic Center Holiday Inn, Augusta
Name:
Address:
Telephone:
Email:
Fax #:
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?
Yes
No
Male
Female
Smoking
Non-Smoking
6. Is there anything else you would like to share with us?
Security Question: What state are we in?
Thank you for applying to the Maine Leadership Academy. Your application has been received!
Main Menu
Home
Resources
Forum
Calendar
About Us
Leadership Academy
Apply here
for the Maine Leadership Academy or download and mail your application
here
.
Applications
Download and mail your application for Membership to the Advocacy Initiative Network of Maine.
Application (DOC)
Application (PDF)
Download and mail your application for the Advocacy Initiative Network of Maine's Board of Directors.
BOD Application (DOC)
BOD Application (PDF)
User Login
Please register or login for full access to our forums and chat areas.
Username
Password
Remember me
Forgot login?
No account yet?
Register
Funded In Part By: