EmpowerU!

Application Deadline: August 16, 2024. All academies run for 6 months, starting from September 3, 2024, to February 13, 2025, with holiday breaks and online workshops included. All academies are conducted in person.

Which academy are you interested in?

Community Builders Academy - Fall 2024

Community Organizing Academy - Fall 2024

Community Entrepreneurship Academy - Fall 2025

Community Builders Academy - Fall 2025

Community Organizing Academy - Fall 2025

Contact Information

Preferred name prefix

Preferred name

First name*

Last name*

Primary phone number*

Alternate phone number

Middle Initial

Email*

Street address*

Postal code*

City*

Demographic Information

What's Your Gender*

Preferred pronouns

he/him she/her they/them

Your Date of Birth MM/DD/YYY

Month/Day/Year

Preferred Language (English, Spanish, Other)

Are you a veteran?*

If yes, which branch of services are you representing?

What is your current level of education? (Please select the option that best describes your status)

What is your race/ethnicity? (¿Cuál es su raza/etnicidad?)

American Indian or Alaska Native / Americano indígena o nativo de Alaska

Asian/Asian-American

African American/Black

Hispanic/Latino/Latina

Middle Eastern or North African (MENA) / Del Medio Oriente o norteafricano (MENA)

Caucasian/White

Multi-Racial/Multi Ethnicity

Prefer not to answer / Prefiero no responder

More Information

Please select the community where you live*

Can you receive text messages on your primary phone number?*

May we include your name, phone number, and email address in a directory for your classmates?*

Can you receive text messages on your alternate phone number?

Do you have reliable transportation to get to/from the program?*

Yes

Limit your application essay questions to a maximum of 200 words.

Why are you interested in joining this Academy?

Describe any previous experience or background you have in this Academy or related fields.

What specific skills or knowledge do you hope to gain, and how do you plan to utilize these skills?*

Share an example of a community issue you are passionate about and explain why it is important to address.

Describe a situation where you demonstrated leadership or teamwork skills in a community health-related project or initiative. *

Who/What referred you to this program?*

What support do you need to make this a great experience?*