Civic Leadership Engagement Roadmap (CLER) Application

First, Select Your Program:

Which CLER program are you applying for today?

CLER 1.0: Founding Principles & Local GovernmentCLER: Education

Next, Select a CLER Session:

Which CLER 1.0 or CLER: Education cohort do you prefer?

Spring 2025 (February 1 – April 30)Summer 2025 (June 1 – August 31)Fall 2025 (September 1 – November 30)

Next, Select a CLER Session:

Which CLER 1.0 or CLER: Education cohort do you prefer?

Spring 2025 (February 1 – April 30)Fall 2025 (September 1 – November 30)

Complete Your Contact Information:

First Name

Last Name

Email Address

Mobile Phone

Street

City

State

Zip Code

Date of Birth (MM/DD/YYYY)

Are you a member of the Veterans, Active Duty or Military Spouse Community?

If yes, please explain your service in the Veterans, Active Duty or Military Spouse Community.

Are you an entrepreneur, small business owner, or start-up business leader?

Please list your business and the role you serve in as a leader

Tell us about Your Educational Background:

Trade School

Undergraduate College/University

Undergraduate Graduation year

Undergraduate Major

Post Graduate School

Post Graduate Graduation Year

Extracurricular

List groups you are involved with outside of work or school

Please list activities you are involved in or enjoy

How have you engaged in elections? (Select all that apply)

Registered to VoteRegularly Vote in General ElectionsRegularly Vote in Primary ElectionsServed in Elections (Poll Worker/Watcher, etc.)Campaign Support (Yard Sign, Calls, Door-to-Door, etc.)Donated to a Political Party or Candidate

Leadership and Strengths:

The Policy Circle believes in free market principles, limited government and personal agency. Do you agree with our core fundamentals?

YesNo

If not, what don’t you agree with?

The Policy Circle’s mission is to inform, equip, and connect women to be more impactful citizens. What are your thoughts on our mission, and how does it resonate with you?

What’s one strength you wish you had, and what have you done to develop it?

What do you hope to accomplish during this program?

Describe your leadership philosophy. What are you currently doing to develop it?

Other than CLER, are you currently involved in any other leadership development programs?

YesNo

Name of Program:

If not currently enrolled in any other leadership programs, please specify any you have completed in the past.

Often the right decision for an organization, community, state or even nation may be the least popular for the decision-maker. Name an instance where you have seen this in action (whether it be yourself or something you observed others doing), the outcome, and what you learned from that experience.

References and General Information:

Please provide 2-3 references for us to contact for consideration of participation in this program. Please include their email and phone number.

How did you hear about the CLER program?

Please add a short bio below:

Please include a headshot or photo, which may be used to publicly celebrate your participation in the CLER Program. By providing your headshot, you are agreeing to allow The Policy Circle to publicly share your participation in this program.

Participation/ Payment Details:

The nonrefundable program fee to participate in each CLER course is $300. Please select how you plan to secure your participation:

I agree to pay the $300 program fee if accepted.I plan to apply for an Award/grant to allow me to participate.I am being sponsored by a member of TPC or a partner organization.

If you have been sponsored, name The Policy Circle member or the organization

Application and Membership Agreement:
By checking this box, I agree to the Membership Agreement, Core Principles and Terms of Use as stated on The Policy Circle website.

AgreeDisagree

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Extracurricular