ECPC Leadership Academy Application 2020 – 2021

ECPC Leadership Academy Cohort I: 2020 - 2021

Return Parts I, II, and III of this application, which includes your current resume and your supervisor’s recommendation. All applications are due by Friday, February 21, 2020. If selected you will be notified by February 24, 2020 of your acceptance.
  • Before filling out this form please make sure you have a copy of your Résumé to upload as well as your Supervisor Recommendation Form Please print and upload the signed copy in section III of this application.
  • Part I: Applicant Information

  • Part II: Applicant Statement & Résumé

  • In applying for this Intensive TA activity in Leadership Development for Part C and Part B (619) coordinators, you are expressing your interest in and commitment to furthering your career and your impact on the field of early childhood intervention for infants and young children with disabilities and their families.
  • Drop files here or
    Attach a current résumé listing formal education including degree(s) earned, work experiences related to special education, administration, professional and civic activities, and other pertinent information.
  • Part III: Recommendation

  • Recommendation from supervisor: Request that your supervisor or program manager complete and sign Recommendation Form - Supervisor Recommendation Form
  • Return Parts I, II, and III of this application, which includes your current resume and your supervisor’s recommendation. All applications are due by Friday, February 21, 2020. If selected you will be notified by February 24, 2020 of your acceptance. Your signature on this application certifies that the information you are providing is complete and true to the best of your knowledge.
  • Please type out your full name on the line to confirm this application certifies that the information you are providing is complete and true to the best of your knowledge.
  • Date Format: MM slash DD slash YYYY