Enrollment Application for CC-P® Prep Classes

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Cohort A
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
Hagerstown Community College

Class #1: December 5-6, 2018
Class #2: February 19-20, 2019
Class #3: May 7-8, 2019

 
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Cohort C
Ellicott City Community Center

Class #1: December 18-19, 2018
Class #2: March 2019 (TBA)
Class #3: May 2019 (TBA)


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

The deadline for enrollment applications has been extended until October 22, 2018. 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 on or before October 26, 2018.

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.
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: