(NELC) Nonprofit Executive Leadership Certification Application

NELC is designed to equip individuals seeking a role in nonprofit management with the skills needed to be successful. Potential participants include acting executive directors who desire to improve their skills and other individuals seeking to become a nonprofit executive. Fee for the course is $750.

1Personal Information > 2Employment/ Occupation > 3Education > 4Community Activities > 5Motivation > 6Commitments > 7Review Your Entry
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Name Name * First Last
Do you go by something other than your first name, if so what is it?
Multiple Choice

Multiple Choice Male Female
Email *
Home Address Home Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Business Address Business Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Do you prefer postal mail to your home or business address?

Do you prefer postal mail to your home or business address? Home Business
Home Phone Home Phone - ### - ### ####
Business Phone Business Phone - ### - ### ####
Cell Phone Cell Phone - ### - ### ####
You give permission to receive text message alerts from NMC regarding NELC delayed starts and/or cancellations.

You give permission to receive text message alerts from NMC regarding NELC delayed starts and/or cancellations. Yes No
Length of Residence in Permian Basin (cumalitive)
If married Spouse's Name
Number of Children (optional)
Names and Ages of Children (optional)
We will serve breakfast, lunch and snacks. Do you have any food allergies we should be aware of?
Hobbies and Interests (optional)
Save my progress and resume later
Enter Your Email Address *

A special link to resume the form will be sent to your email address.

(NELC) Nonprofit Executive Leadership Certification Application

(NELC) Nonprofit Executive Leadership Certification Application

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