Authentic Leadership in Action (ALIA): Engaging the Differences that Divide Us
Thank you for your interest in the ALIA Summer Leadership Intensive in Tacoma, WA on June 22-25, 2017. We offer partial scholarships for those who would not otherwise be able to attend.
Please complete this application in it's entirety. Applications received by April 15 will receive priority. We will begin reviewing applications after the priority date and will notify you with a decision by May 1, or within two weeks of receiving your application if after the priority date.
Please be aware that there are a limited number of partial scholarships available. We may contact you if there are questions about your scholarship application or to explore volunteer work you might do in exchange for reduced fees.
Primary Phone Number
Secondary Phone Number
International Phone Number (if applicable)
Address Line 1
Address LIne 2
Preferred Gender Identity
Furthest Level of Education Completed
Please seclect the employment status that best describes you
Occupation or Prefessional Title
Company or Organization
Current Role and Leadership Capacity
In a few sentences please describe your current employment situation, as well as your role and leadership capacity within your organization.
Interest in the ALIA Summer Leadership Intensive
In a short paragraph please describe your interest in the ALIA Summer Leadership Intensive: Engaging the Differences that Divide Us. Include your experiences with previous the ALIA, ALC, and/or Naropa programs; the subject matter of this program and how this program will help you succeed in your short and long term personal and professional goals.
Contributions to Community and Workplace
The individuals that participate in our program all add their unique perspective to the experience. In a brief paragraph, explain what contribution you would bring to the learning community and how you might apply the learning in your workplace or community.
No full scholarships are available; only partial scholarships. Describe your current capacity for a personal contribution or receiving support from your employer or other sponsors. Please share any special circumstances affecting your need for for financial assistance.
Please provide any additional information that you feel will help us make a decision.
How did you find out about the program?
ALIA Community of Practice
Email Blast: ALC
Email Blast: Other - please name person or organization below
Magazine Ad: Mindful
Magazine Ad: Lion's Roar
Magazine Ad: Buddhadharma
Magazine Ad: Tricycle
Professional Conference - please name conference below
Social Media: Facebook Ad
Social Media: ALC Facebook Post
Social Media: Naropa Facebook Post
Social Media: Shared Facebook Post
Social Media: Twitter
Website - please name website below
Word of Mouth - please name person or event below
Send me a copy of my responses
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