Application 2024
LeaderShift will take place August 10-18, 2024, starting and finishing in Flagstaff, AZ.
Applicant's Information
First Name
Last Name
Participant's Pronouns
she/her
he/him
they/them
other
prefer not to say
Street Address
City
State
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
DC
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
PR
Other
Zip Code
Participant's Phone
Participant's Email
Participant's Birth Date
MM/DD/YYYY
Are you 18 years of age or older?
Please select...
Yes
No
Race and Ethnicity: How do you self-identify? Select all that apply to you.
Please select...
Native American, Native, Indigenous, American Indian or Alaska Native
Asian/Pacific Islander
Black or African American
Hispanic, Latinx, or of Spanish descent
Middle Eastern or North African
White
Other
Which tribes do you identify with? (if applicable)
Acoma Pueblo
Apache
Blackfeet
Cochiti Pueblo
Cocopah
Diné (Navajo)
Havasupai
Hopi
Hualapai
Isleta Pueblo
Jemez Pueblo
Kaibab-Paiute
Laguna Pueblo
Las Vegas Paiute Tribe
Moapa Band of Paiutes
Nambé Pueblo
Northern Ute
Ohkay Owingeh Pueblo
Paiute Indian Tribe of Utah
Picuris Pueblo
Pojoaque Pueblo
Sandia Pueblo
San Felipe Pueblo
San Ildefonso Pueblo
Santa Ana Pueblo
Santa Domingo Pueblo
Santa Clara Pueblo
San Juan Southern Paiute
Southern Ute
Taos Pueblo
Tesuque Pueblo
Tohono O'odham
Uintah Ouray Ute
Ute Mountain Ute
White Mountain Apache
Yavapai-Apache
Zia Pubelo
Zuni Pueblo
Other
Please list your tribal affiliation
How did you hear about LeaderShift and/or the Rising Leaders Program?
Please select...
Trust Website
Trust Event
Trust Staff
Friend/Family
Social Media
Article/Film/Media
Another Organization
Other
Short Answer/Mini Essay Questions
We will use your answers to the following questions to select LeaderShift participants. Please answer thoroughly and thoughtfully.
You might want to draft your answers in a different program and then copy-and-paste into this form.
1. We are interested in how you, as a young person, approach environmental and social justice problems. Please describe 3 of your strengths and how they have helped you enact change in the world. (300-500 words)
2. Please describe your connection to the Colorado Plateau or Southwestern United States. (200-300 words)
3. During LeaderShift, we focus on learning from the land and we discuss what it means to be place-based. Tell us about a time when you learned something from the land. (300-500 words)
4. LeaderShift strives to equip young people with the skills needed to practice environmental advocacy. Describe 2-4 skills or behaviors you would like to cultivate and explain why they will help you achieve your goals. (100-300 words)
5. We may ask you to contribute to the learning process by sharing something you know a lot about with your fellow LeaderShifters. Please describe a topic or issue you'd feel comfortable teaching others about for 10-15 minutes. (100-300 words)
6. LeaderShift is an intensive program. How will you hold yourself accountable to meeting the expectations of being a LeaderShift Scholar? What concerns, if any, do you have about successfully completing the course? (100-200 words)
7. Is there anything else you'd like to tell us about yourself?
Do you want to receive updates from the Rising Leaders Program?
We send about 3-4 emails per year, including great internships and job postings.
Yes
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Contact Information