2021 Silicon Valley
Housing Policy Leadership Academy Application

Thank you for your interest in the 2021 Silicon Valley Housing Policy Leadership Academy. Please complete the application below on or before the June 18, 2021 deadline.

Name*
First Name Last Name
Title (if applicable)
Employer or Organization
Industry
Address
Street Address City State ZIP Code
Email*
Phone*
Age
Race/Ethnicity
Gender
Preferred Pronouns
High School Education
Name High School Address Line 2
Certification and Training Programs
Street Address Address Line 2
College or University
Street Address Address Line 2
Graduate School
College Degree
Community Engagement & Leadership Activities
Please list one or more community engagement, volunteer, and/or leadership activities in which you have been involved over the last 2 years:
Please share three reasons why you are interested in attending HPLA.
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Advanced Leadership and Facilitation Training
If you are interested in earning an additional certificate for serving as a small group facilitator for your peers during class discussions and activities, please respond to the following questions. Please note that you must have prior experience in one or more areas of housing policy.
- Yes I am interested in serving as a small group facilitator.
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1. I am available Thursday, July 1, to participate in a day-long workshop for HPLA facilitators.
- Yes
- No
Post Custom Field
2. Please describe any prior experience facilitating small and large group discussions.
Post Custom Field
3. How would you describe your strengths as a facilitator?
Consent*
I have read and agree to meet course expectations.
Initials*

2021 Silicon Valley Housing Policy Leadership Academy Application

2021 Silicon Valley
Housing Policy Leadership Academy Application