CDCD Leadership Program Registration

Applicant Information

First Name *

Last Name *

Home Address *

City *

Postal Code *

Employer *

Your Email *

Your Phone (numbers only, eg 9059991234) *

Company Name *

Your Position *

Contact Name *

Company Address *

City *

Postal Code *

Email *

Company Phone (numbers only, eg 9059991234) *

Please answer the following questions in the space provided

Describe an experience that demonstrated your leadership competencies. How did you make a difference? What did you learn from this? (Max 250 Words)

Tell us about an issue within Durham region about which you are passionate. Why? How would you go about tackling this issue? (Max 200 Words)

In your view, what is the most important quality of a leader? What individual attributes do you hope to develop or expand upon? (Max 100 Words)

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