I understand only NALHE members will be reviewed for selection. I also understand that spots are limited and will be competitive. *
Yes. I understand and, if accepted, I am committed.

First Name *

Last Name *

Preferred Pronouns *

Phone *

Personal Email Address *

Country / Region *
United States

Apartment Number *

Street Address *

City *

State*

Postcode / ZIP *

Student Information *

Professional Information (optional)

Do you identify yourself as: *
Latino/Latina/Latinx/LatineMulticulturalNALHE Ally - those who support the NALHE Mission

Why do you want to join this program? *

What do you hope to gain from this program? *

How do you want to contribute back to the Latino Community? *

What are your top 3 challenges in developing and advancing your career? *

Are you willing to meet bi-weekly March - August, 2023 at 5:30pm - 7pm CT every 1st and 3rd Tuesday? *
YesNo

Please upload your recent resume / CV *