LDR Application - Five Frogs – Brave Leaders. Bold Action.

Contact Information

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Program

Name(Required)

First Last

Pronouns

Personal Email Address(Required)

Phone(Required)

Current Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Employer Information

Organization Name(Required)

Job Title(Required)

Work Email Address(Required)

Organization Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Work Phone

Phone Extension

Number of Years in Your Field(Required)

What sector are you currently in? (select all that apply)(Required)

Nonprofit

Private

Public

Philanthropy

Healthcare

Other: Please describe

Number of Organization/Company Employees(Required)

Annual Operating Budget/Revenue(Required)

Applicant Profile

To get a picture of your career trajectory, please do one of the following:(Required)

Please select which of the questions you choose to respond to.

Include LinkedIn profile

Upload current resume

Summary of how you spend your time

Include LinkedIn profile(Required)

Upload Resume(Required)

Submit an up-to-date resume. Save the resume as a Word or PDF document. The file should be named "Last name, First name_Resume YEAR". For example, "Mendoza, Christian_Resume 2024" .

Accepted file types: docx, doc, pdf, Max. file size: 50 MB.

Summary of how you spend your time(Required)

Why is LDR is a good fit for you now? How does the Five Frogs mission for an equitable Connecticut aligns with your own?(Required)

Select how you would like to provide you response to the prompt.

Upload My Response

Type My Response

Upload Response to Essay #1(Required)

Upload your response to the prompt: Why is LDR is a good fit for you now? How does the Five Frogs mission for an equitable Connecticut aligns with your own?

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Type Your Response to Essay #1(Required)

Use the space below to type your response to the question: Why is LDR is a good fit for you now? How does the Five Frogs mission for an equitable Connecticut aligns with your own? Respond to the question succinctly.

Second Essay(Required)

All applicants must answer ONE of the following questions: 1) Describe a challenge you face as a leader today, OR 2) Describe one of your strengths and how you put it to use recently. You may either upload or type your response below. Please select which of the questions you choose to respond to.

Describe a challenge you face as a leader today.

Describe one of your strengths and how you put it to use recently.

How would you like to provide your response?(Required)

Upload My Response

Type My Response

Upload Your Response Essay #2(Required)

Upload your response to the prompt you select.

Accepted file types: doc, docx, pdf, Max. file size: 50 MB.

Type Your Response to Essay #2(Required)

Use the space below to type your response to the prompt you select.

Short Answer

What social issue(s) do you care most about?(Required)

What leadership traits are you looking to build?(Required)

What are your core values and/or personal guiding principles?(Required)

Do you have any accommodation requests? If so, please describe.(Required)

Please review key program dates. Do you anticipate any barriers to participating in 100% of the sessions?(Required)

We strive to remove potential barriers to participate in this program. Please indicate if you would like to receive a financial subsidy.(Required)

Email

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Leadership Development Roundtable

Leading for equity together

Thank you for your interest in the Leadership Development Roundtable (LDR). Five Frogs is now accepting applications for Tri-Sector LDR 2024. Tri-Sector LDR leaders are from the public, private and nonprofit sectors.

Contact Information

Employer Information

Applicant Profile

Short Answer

Demographics Information

Need Assistance?

Need assistance completing your application or require special accommodations? Not a problem! Send us a message and we’ll do what we can to support you.