LOCAL:

Leading Our Communities Through Action & Learning

Contact Information

Full Name

Title

Phone

Address

City

State/Province

Zip

Program Information

Program Name

Program Type

Other (please specify)

Number of learners served annually

Number of FT staff/faculty

Number of PT staff/faculty

Number of volunteers

Does your program receive federal funding through WIOA Title II?

YesNoUnsure

List any additional federal funding sources your program receives (optional):

Professional Development Needs

Which areas would be most helpful for your program to strengthen or improve? (check all that apply)

Leadership & Management (e.g., staff development, succession planning, team leadership)Program Design & Delivery (e.g., instructional quality, innovation, learner-centered approaches)Community Engagement & Partnerships (e.g., employer engagement, community collaborations)Learner Outcomes & Impact (e.g., measuring outcomes, using data for program improvement)Advocacy & Visibility (e.g., storytelling, public engagement, communications)Sustainability & Funding (e.g., grant writing, diversifying funding)Correctional Adult Education (e.g., reentry programs, partnerships with corrections agencies)Other (please specify)

Other (pleas specify)

Are there any additional challenges or areas where you wish your program could do better?

Participation Interest

I understand that each program may send one designated representative as their LOCAL Representative. I have my program’s permission to serve as their LOCAL representative for 2026.

I understand that I must attend a meeting and complete a quiz every month. If I cannot attend, I will designate an alternative attendee from my program or watch the recorded session and submit the quiz.

I will actively engage in discussion in Basecamp (the online community space).