LAMESA APPLICATION FORM I understand only NALHE members will be reviewed for selection. I also understand that spots are limited and will be competitive.(Required) Yes. I understand and, if accepted, I am committed. First Name(Required) Last Name(Required) Preferred Pronouns(Required) Phone Number(Required)Personal Email Address(Required) Country / Region(Required)United StatesApartment Number(Required) Street Address(Required) City(Required) State(Required) Postcode / ZIP(Required) Student InformationMost recent education(Required) Year in program (i.e. 1st year MHA)(Required) Major / Degree Expected / Previous Graduation Date(Required) Professional Information (Optional)Company Job Title Company City Company State Do you identify yourself as:(Required) Latino/Latina/Latinx/Latine Multicultural NALHE Ally - those who support the NALHE Mission Why do you want to join this program?(Required)What do you hope to gain from this program?(Required)How do you want to contribute back to the Latino Community?(Required)What are your top 3 challenges in developing and advancing your career?(Required)Are you willing to meet bi-weekly March - August, 2024 at 5:30pm - 7pm CT every 1st and 3rd Tuesday?(Required) Yes No Please upload your recent resume / CV(Required)Max. file size: 50 MB.Are you an undergraduate senior or graduate student, and/or in your first two years as an early careerist?(Required) Yes No Please upload a reference letter (must include official letterhead template and signature)Max. file size: 50 MB.I acknowledge that my application may require an interview if additional information is needed.(Required) I agree I acknowledge that I have read, understand, and agree to the NALHE Code of Conduct. I acknowledge that I have read, understand, and agree to the NALHE Code of Conduct.(Required) I agree We value inclusion and access for all participants. Please let us know if you have any reasonable accommodations at LaMesa@mywww.nalhe.org CAPTCHANameThis field is for validation purposes and should be left unchanged.
