Nollau Leadership Institute


Mail checks payable to "CHHSM" to:

The Council for Health & Human Service Ministries, UCC
PO Box 91456
Cleveland, OH 44101

Online Application Form: Class of 2024-25

  • About You

  • Creating an explicit culture around sharing pronouns is one way to support people's right to determine how they want to be addressed, and affirms the dignity of trans, non-binary, intersex and gender non-conforming people. If you choose not to share your pronouns, we honor this decision and expect that you respect how others in the space wish to be addressed.
  • If you have any academic or professional credentials that you would like us to know about, please list them.
  • Please list the email address you’d like us to use to communicate with you.
  • In relation to your cultural background (broadly defined as race, class, sexual orientation, ethnicity, gender identity, age, disability, language, country of origin, immigration status, etc.), what identities are important to you that will be helpful for us to know about? CHHSM is committed to issues of Race, Diversity, Equity, Inclusion and Justice and creating a diverse learning community. We recognize how demographic identities and their experiences are not monolithic and deeply appreciate you taking time to complete this section of the application.
  • Do you require accommodations to participate at any point in this process (audio/visual, for on-site trainings: dietary, allergies, mobility, etc.)? If so, please specify above.
  • Share Your Passion

  • Please use this space to briefly share why you wish to participate in the Nollau Leadership Institute and two expectations you have of this leadership formation program.
  • Employment Information

  • Financial

    Name and Billing Address for tuition and room and board expenses. Some organizations sponsor their employees or members to attend Nollau while others may pay for the program individually.
  • Please note: The Nollau Leadership Institute class members must commit to fully participating in every session of the Institute and the Nollau Online Forum.