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CRANE LEADERSHIP ROUNDTABLE COHORT

APPLICATION

Instructions: For consideration to be included into the upcoming Crane Leadership Roundtable cohorts, this application is due no later than the Friday one week before the start date of the cohort you are pursuing. (For the specific application deadline for your desired cohort, please see FAQ #4.)


Please provide the personal information below, along with your answers to the application questions. Concise, but thorough, answers are preferred. And please keep in mind that each question is not intended as a metric for acceptance into (or rejection from) the CLR program. Instead, they are primarily to give our evaluation team a baseline composite picture of your candidacy.


If you have any questions about this application, please contact Amy Shockley at amy@craneleadership.org or at 317.408.7496.

6. Gender
7. Marital Status

9. Which CLR cohort are you applying for?

If you are interested in more than one cohort, please check all that apply. If you need more information on the different cohorts that are being offered, please see FAQ #4.

27. Please include the names and contact information for three references. We will be following up with these references if/as needed.

By signing below, I acknowledge that I have read, and I commit to, the following:

I understand that my participation in the Crane Leadership Roundtable experience requires a significant investment of my time, effort, and financial resources. And my selection as a part of this CLR cohort means that someone else was likely not selected for my spot. Thus, I’m committed to investing myself in this program by coming to each session well-prepared to fully engage in the process. 

I also understand that, in order to get the full benefit of the experience, my attendance at the different cohort sessions is mandatory, and that if I miss a session–while I may be able to work with the Crane leadership team to address my situation–I am potentially putting my graduation from the CLR program at risk. I also agree to paying the full participation fee, even if I am unable to attend all the sessions (recognizing that there is the option for me to complete the experience in a future cohort without incurring additional expense.)

I agree to remit the $25 non-refundable application fee (which, if selected, will be put toward my overall program fee). If selected for this experience, I also understand that I must remit at least 25% of the full fee on or before the date of the first cohort session. And the remaining balance of that fee will be due on or before the date of the last cohort session

By typing my name below, I am signing this agreement: 

ItemsQtyTotal
Application Fee125.00
Annual Charge $xxx
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