Board Leadership Program - April 2021

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                                                  Personal Information

Personal Information

To complete this application you will need:
1. A resume in (.PDF or .DOC file format)
2. A high quality headshot (.JPG or .PNG image format)

                                                    Contact Information

Contact Information
Full address, Suite/Apt/#

                                                  Demographic Information

Demographic Information
AABLI uses this information to better understand and serve our Alumni.

                          Overview of Program Focus, Interest, and Skills/Experience

The next three pages are important. Your selections will help determine the type of board you have an interest in serving and what professional skills you can bring to the board.


Program Focus is the overall goal or objective of the organization seeking a board member. For instance, if you were to indicate Homelessness, you will match with organizations that are focused on Homelessness.  You may pick five (5) items in the Program Focus section.


Interest is what part of the board's activities connect with you.  For example, if you have a desire to be part of the board's Fundraising/Development committee, here is where you would indicate your interest(s).  You can select up to three (3).


Skills are what a board considers when looking to add a potential board member to its board. You can select up to five (5).

                                            Board Placement Preferences

Your preferences as a board member

                                                          Program Focus

Program Focus - Types of boards that are of interest to you (no more than five)

Skills and Experience 
Skills and Experience you bring to as a member of a board (No more than five)


Photo & Video Release
By this registration, I hereby authorize the African American Board Leadership Institute (AABLI) to take video and photographs of me and I grant a perpetual license to use, copy and distribute these images or prepare derivative works for all ABBLI uses, including, but not limited to: magazines, newsletters, webpages, advertisements, brochures and/or recruitment materials. Any copyrights arising from the aforementioned uses shall remain the property of AABLI. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. I waive all rights I may have for any claims for payment in connection with any use of said images. My completed application indicates my approval of these usages and that I am 18 years of age or older. 
Commitment Agreement
I wish to participate in the AABLI Board Leadership Program.   If I am accepted:
    • I understand that all current application, admission, and registration requirements must be met.
    • I understand that tuition is due at time of enrollment and subject to change.
    • I agree to complete all homework assignments before the start of class.

Enrollment Form
To complete this application you will need:

Payment by credit card or by check. You will be prompted for your credit card information at the end of the application.  

Cancellation Policy

1. All BLP cancellations must be submitted in writing to AABLI at 

2. All refunds are subject to a $50 administrative fee. 

3. No refunds 5 days prior to the BLP start date. 

Please note:

  • Rollover policy refers to any request made by an applicant to change their originally selected Board Leadership Program attendance to one scheduled for a later date.
  • Each rollover request will accrue an administrative cost of $50
  • This cancellation policy does not apply to other AABLI events
AABLI reserves the right to cancel training courses at any time. In the unlikely event that your training course does not take place, we will make every effort to offer you an alternative date to take the course or refund the full cost of the training.

You may save your application and return later.  You will see this link at the top of each page.
Note: This application is not a confirmed enrollment until payment in full is received.

                                                    AABLI Check Policy

All payments submitted by check are subjected to the following:

  1. Your organization's application is pending review until the administration fee is received in full.
  2. Please make the check payable to: Community Partners- fbo AABLI
  3. On the memo line write: Project Number 0644
  4. Mail check to: 
Community Partners c/o AABLI 
P.O. Box 741265
Los Angeles, CA 90074

You will receive a confirmation email of your enrollment once your check is processed.  

Any questions or concerns?  Contact us at or call (213) 346-3240

                                                     BLP Payment Processing

For the Board Leadership Program, April 2021 course, your card will be charged $795.00.
We Accept Visa, Master Card, and American Express
Payment Information
Billing Address
Please note: There will be a pause for a few moments while we upload your resume and bio.