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.
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.
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.
