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2017 Dungy Leadership Institute (DLI) Participant Application


12/19/2016 - 3/16/2017

California State University, Fullerton | June 16 - June 21, 2017 
https://www.naspa.org/events/2017dlicsuf 

Pacific Lutheran University | June 23 - June 28, 2017
https://www.naspa.org/events/2017dliplu 

There are two components to apply:

  1. A completed online form that includes demographic information and answers to question prompts. These items should be submitted in the form below.
  2. A letter of recommendation from your mentor. This letter should include your mentor's thoughts on how you will benefit from attending the NUFP Dungy Leadership Institute and how you will contribute to the quality of the program. The letter can be uploaded via this form or emailed directly to nufp@naspa.org

All components of the application must be submitted by March 16, 2017 at 1:00pm Eastern. If you have any questions about the application, please contact Jasmine Scott at jscott@naspa.org or 202-265-7500. x1198.

This experience is sponsored by NASPA and our host institutions - California State University, Fullerton and Pacific Lutheran University. As such, this program is free for all selected participants.

 

 

Customer/Member ID
Customer/Member ID:  Required
 
Region
Please indicate the region your institution is in.
To determine your region, please visit http://www.naspa.org/constituent-groups/regions
Region  Required

 Region I  Region II
 Region III  Region IV-E
 Region IV-W  Region V
 Region VI  
 
Applicant Information
First Name:  Required
Last Name:  Required
Institution Name:  Required
Home Phone:  Required
Cell Phone (if different from above):
Preferred Email:  Required
Non .edu Email (if not above):
Twitter Handle:
Graduation Date  Required

 December 2016  May/June 2017
 December 2017  May/June 2018
 December 2018  May/June 2019
 December 2019  May/June 2020
 
Sex
What sex were you assigned at birth, on your original birth certificate?
Sex  Required

 Female  Male
An identity not listed; please specify:
 
Gender Identity
Please feel free to indicate multiple boxes in the following areas, if applicable.
  Required

 Woman  Man
 Intersex  Transgender
 Trans Man  Trans Woman
 Gender Queer/Gender Non-Conforming  
An identity not listed; please specify:
 
Race/Ethnicity
Please feel free to indicate multiple boxes in the following areas if applicable
Race/Ethnicity  Required

 American Indian/Alaska Native/Native Hawaiian  Asian/Asian American/Pacific Islander
 Middle Eastern  Black/African American
 Hispanic and/or Latino/a/x  Multiracial/Multiethnic
 White/Caucasian  Other
Other:
 
Sexual Orientation
Please feel free to indicate multiple boxes in the following areas if applicable
Sexual Orientation  Required

 Lesbian  Gay
 Bisexual  Questioning or Unsure
 Asexual  Pansexual
 Queer  Same-Gender Loving
 Straight (Heterosexual)  
An identity not listed; please specify:
 
Disability
Please feel free to indicate multiple boxes in the following areas if applicable
Disability  Required

 Blind/Low Vision  Deaf/Hard of Hearing
 Learning Disability  Physical/Systemic
 Psychological Disability  N/A
An identity not listed; please specify:
 
Other Identities
Other Identities  Required

 Adopted  Foster Youth
 Undocumented/DACAmented  First-Generation College Student
 Low-Socioeconomic Class Background  Religious Minority (please explain in other)
 Veteran Status  N/A
If other or not below, please specify:
 
Required Questions

Please upload a PDF file to answer the question below. Your responses should not exceed three pages, double spaced in total.

  1. What are your short- and long-term career goals in student affairs or higher education?
  2. What are your immediate plans after completing your bachelor’s degree (education/work)? If you are not graduating in May/June 2017, please ALSO describe what your plans are for your remaining academic career.
  3. How have you taken advantage of the NUFP Experience? What has been the most valuable aspect thus far?
  4. How will you benefit from attending the Dungy Leadership Institute and how will your presence contribute to the Institute?

Please upload your response save as Last NameFirst NameQuestions, i.e. VictoriaNathanQuestions.

Questions, Last Name, First Name:  Required
Provide short title (Questions, Last Name, First Name):  Required
 
Program Availability
DLI will be hosted on two campuses during Summer 2017. Please choose the dates you are available to participate and would therefore, like to be considered.
  Required

 June 16-21, 2017  June 23-28, 2017
 
Letter of Recommendation

Please upload a PDF file of a letter of recommendation from your mentor including your mentor's thoughts on how you will benefit from attending the NUFP Dungy Leadership Institute and how you will contribute to the quality of the program.

If your mentor would prefer to send this recommendation directly to NASPA, please send it to nufp@naspa.org. Please note, the letter of recommendation must be received by March 16, 2017 to consider your application complete.

Mentor First Name :  Required
Mentor Last Name:  Required
Mentor Title:  Required
Mentor Email Address:  Required
Letter of Recommendation, Last Name, First Name::
Provide short title (Letter of Recommendation, Last Name, First Name:):
 
Résumé or CV
Please upload your current résumé as a PDF file and save as Last NameFirst NameResume, i.e. VictoriaNathanResume.
Résumé:  Required
Provide short title (Résumé):  Required
 
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