United Way of Greater Rochester

75 College Avenue, Rochester, NY 14607

PH: (585) 242-6400 F: (585) 242-6500

United Way’s Emerging Leaders Development Program (ELDP) was established to identify, train, and promote local Emerging Leaders, aged 40 and under, for placement on boards, committees, and community projects, and in policy-making positions, to ensure the Greater Rochester Community and its organizations are tapping the full potential of our resident young professionals.

The primary focus of ELDP is the development and application of effective leadership skills and competencies in one’s personal, professional, and public service pursuits. The connections, experience, and relationships built throughout ELDP are invaluable to individuals, organizations, and our entire Community, as we work together to help the Greater Rochester Area and local organizations thrive.

The training is three (3) days in length and the curriculum topics include, but are not limited to:

⇨ Leadership ⇨ Board Member Responsibilities ⇨ Communication ⇨ Decision-Making ⇨ Conflict Resolution

EMERGING LEADERS DEVELOPMENT PROGRAM APPLICATION

I am a current member of Emerging Leaders Society

Personal Data

First Name

Middle Name

Last Name

Pronouns

Address

City

State

Zip

Cell Phone

Home Phone

Personal Email

Gender

Date of Birth (MM/DD/YYYY)

Other Gender Description

How Long Have You Lived in the Greater Rochester Area?

Are You Originally From the Greater Rochester Area?

Where are you originally from?

Employment Data

Employer

Job Title

Department

Employer Address

Employer City

Employer State

Employer Zip

Business Phone

Business Email

Supervisor First Name

Supervisor Last Name

Supervisor Email

Preferred Phone

Preferred Email

Preferred Address

Race/Ethnicity Not Listed Description

Other Description

General Information

Why would you like to participate in this year's program?

How do you envision using the skills gained in ELDP to enhance your future professional endeavors?

Volunteer Activities (List your last two major volunteer activities.)

Volunteer Activity #1

Organization

Role

Year Started

Year Ended

Volunteer Activity #2

Organization

Role

Year Started

Year Ended

References

Reference #1

First Name

Last Name

Phone

Relationship

Reference #2

First Name

Last Name

Phone

Relationship

If accepted into the program, I agree to do the following:

Pay the program fee of $150.00 ($200 for non-ELS members) in full before training.
Attend ALL program sessions, from 8:00 a.m. until 5:00 p.m. at United Way.
Participate on a board, committee, association, or community project for a least one year or one term after graduation.
Use the ELDP training and acquired skills to expand my role as a community leader.

My employer is unable to cover the program fee. I would like to be considered for financial assistance.

By checking this box I acknowledge that all statements made in this application are accurate to the best of my knowledge.

American Indian or Alaska Native	Native Hawaiian or Pacific Islander
Asian	Black or African American
Latino/a/x or Hispanic	Multiracial
White	Not Listed

Employer	United Way's Website
Article	Television
Friend	Work Colleague
UW Leadership Program Alumni	United Way Event
Other

Adult Skills Development	Elder Care	Legal Assistance
Aging	Employment Job Training	LGBTQ
AIDS/HIV	Faith Based	Literacy
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Bling or Visually Impaired	Fundraising for United Way or other organizations	Music
Children and Youth	Grant Writing	Poverty
Community Development and Planning	Health	Strategic Planning
Crime	Health and Social Services	Substance Abuse
Dance	Homelessness/Housing	Theater
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Domestic Violence	Inner City Education	Youth Mentoring
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