Wednesday, April 11, 2012

Congressional Leadership Program

IN-9  Congressional Leadership Program
The Indiana 9th Congressional District is Bloomington/Monroe County and the southeastern part of the state.
June 11th – August 6th, 2012

Introduction to the Congressional Leadership Program

The Congressional Leadership Program (CLP) introduces college and graduate students to their region and develops their leadership skills so they can effectively serve their community.  CLP’s sessions are designed to help a diverse group of high-achieving college and graduate students learn more about the strengths and challenges of their community and how they might live a life engaged in addressing those issues.

Applicants should be residents of or attending college or graduate school in the Ninth Congressional District.  CLP class size is limited, so the application process is competitive.  Priority consideration will be given to those who apply by May 1st, 2012.  Applicants must attend at least four out of five sessions to successfully complete the program.

If you have any questions, please contact our Jeffersonville Office at 812-288-3999.

Planned Schedule for 2012
(Locations are subject to change)

Monday, June 11th; 9:00 a.m. – 5:00 p.m.                 Rural Indiana

Monday, June 25th; 9:00 a.m. – 5:00 p.m.                 Local Government

Monday, July 9th; 9:00 a.m. – 5:00 p.m.                  Economic Development

Monday, July 23rd; 9:00 a.m. – 5:00 p.m.                 State Government

Monday, August 6th; 5:00 p.m. – 8:00 p.m.        Charge to Lead

Copy and paste the application below into a Word document to send to the address at the bottom:~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
Congressional Leadership Program

Name: ___________________________________              Date: _______________________

Name to appear on certificate/diploma: __________________________________________

Contact Information:

Permanent Address:      ________________________________________________________
Cell Phone:             ________________________________________________________
School E-Mail    ________________________________________________________
Personal E-Mail  ________________________________________________________
Parents’ Names  ________________________________________________________
Personal Information:

Name of College or University:  ________________________________________________
Major:  ______________________________  Current G.P.A.   ___________________   
Grade Level(upcoming semester):  (   )Freshman  (   )Sophomore  (   )Junior  (   )Senior  (   )Graduate

Please List Two References:

Name: _______________________________    Relation to you: _______________________
Address: ____________________________________________________________________
Phone:  _____________________________________________________________________

Name: _______________________________    Relation to you: _______________________
Address: ____________________________________________________________________
Phone:  _____________________________________________________________________

Additional Requirements:

1.       Please attach a resume to the application.

Signature ___________________________________   Date _________________

Please complete the application and return it to:
The Honorable Todd Young
Attn: Congressional Leadership Program
279 Quartermaster Court
Jeffersonville, IN 47130