Enrollment Application for CC-P® Prep Classes

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Cohort A (closed)
Chesapeake College

Class #1:
November 19-20, 2018

Class #2:
January 24-25, 2019

Class #3:
April 9-10, 2019

 
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Cohort B (closed)
Hagerstown Community College

Class #1:
February 19-20, 2019

Class #2:
May 7-8, 2019

Class #3:
June 12-13, 2019

 
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Cohort C (closed)
Ellicott City Community Center

Class #1:
December 18-19, 2018

Class #2:
March 19-20, 2019

Class #3:
June 6-7, 2019

 

Cohort D (open)
Montgomery College (Germantown)

Class #1:
June 3-4, 2019

Class #2:
July 22-23, 2019

Class #3:
September 9-10, 2019

 

To apply for enrollment in one of the above cohorts,
please fill out the following application.

The deadline for enrollment applications for Cohort D is April 30, 2019. Completing this application does not guarantee a place in the Maryland Climate Leadership Academy. You will be notified of the status of your application by email shortly after submission of your application.

ABOUT THE APPLICANT
Organizational Category *
Please select from the following options to indicate which option most closely applies to your organization:
COHORT SELECTION
Please indicate your availability per the options below for this cohort.
Cohort Selection *
Please note that Cohorts A, B & C are currently closed.
PAST EDUCATION & TRAINING EXPERIENCE
What is current level of education? *
NATURE OF YOUR PARTICIPATION
What brought you to this program?
Please mark all that apply:
Please provide a short statement on why this program is important to you and how you plan to leverage the training provided through it.
Do you require accommodations for a disability?
Dietary Restrictions *
Please indicate any of the following dietary restrictions: